Graduated: 1982
NPI: 1912054990
Practice Locations (2)
ROCKFORD HEALTH PHYSICIANS
415 E CONGRESS PKWY
CRYSTAL LAKE, IL 600146248
7792205600
MERCY HEALTH SYSTEM CORPORATION
875 S ROUTE 31
CRYSTAL LAKE, IL 600148190
7792205500
Source: CMS National Downloadable File, September 2026.