Graduated: 1973
Also: INTERNAL MEDICINE
NPI: 1942229810
Practice Locations (2)
1050 M L KING DR
CENTRALIA, IL 628013060
6185328574
ST MARYS HOSPITAL CENTRALIA ILLINOIS
400 N PLEASANT AVE
CENTRALIA, IL 628013056
6184368000
Source: CMS National Downloadable File, September 2026.