Graduated: 2020
NPI: 1922685023
Practice Locations (3)
PROCTOR HEALTH SYSTEMS
3915 BARRING TRCE
PEORIA, IL 616152500
3096896280
METHODIST MEDICAL CENTER OF ILLINOIS
815 MAIN ST, SUITE A
PEORIA, IL 616021080
3096724977
NORTH SHORE-LIJ MEDICAL PC
1 HEROES WAY
RIVERHEAD, NY 119012054
6315486000
Source: CMS National Downloadable File, September 2026.