Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2002
NPI: 1942319124
Practice Locations (2)
COUNTY OF HENRY
110 N BURR BLVD
KEWANEE, IL 614432214
3098520197
COUNTY OF HENRY
120 E COURT ST
TOULON, IL 614835388
3098523115
Source: CMS National Downloadable File, September 2026.