Graduated: 2008
NPI: 1932470044
Practice Locations (2)
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
1 ILLINI DR
PEORIA, IL 616052576
3096713173
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
507 E ARMSTRONG AVE
PEORIA, IL 616033201
3096816960
Source: CMS National Downloadable File, September 2026.