Medical school: NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduated: 1993
NPI: 1912935172
Practice Locations (2)
OBHG ILLINOIS SC
701 N 1ST ST
SPRINGFIELD, IL 627810001
2177883334
SPRINGFIELD CLINIC, LLP
775 ENGINEERING AVE
SPRINGFIELD, IL 627035909
2175224300
Source: CMS National Downloadable File, September 2026.