Graduated: 2019
NPI: 1891327797
Practice Locations (3)
OTTAWA REGIONAL HOSPITAL AND HEALTHCARE CENTER
102 11TH ST
MARSEILLES, IL 613411048
8157955400
OTTAWA REGIONAL HOSPITAL AND HEALTHCARE CENTER
1100 E NORRIS DR
OTTAWA, IL 613501604
8154333100
T4 MEDICAL PLLC
704 E GLOVER ST
OTTAWA, IL 613504131
8154347144
Source: CMS National Downloadable File, September 2026.