Graduated: 2020
NPI: 1902408172
Practice Locations (3)
CENTRAL PRAIRIE PHYSICIANS PLLC
525 E GRANT ST
MACOMB, IL 614553313
3098334101
METHODIST MEDICAL CENTER OF ILLINOIS
221 NE GLEN OAK
PEORIA, IL 61636
3096725522
METHODIST MEDICAL CENTER OF ILLINOIS
221 NE GLEN OAK AVE
PEORIA, IL 616360001
3096724281
Source: CMS National Downloadable File, September 2026.