Graduated: 2016
NPI: 1962029199
Practice Locations (2)
DEACONESS ILLINOIS SPECIALTY CLINIC, INC.
3333 W DEYOUNG ST
MARION, IL 629595884
6189987000
ROCKFORD HOSPITALIST GROUP LLC
1401 E STATE ST
ROCKFORD, IL 611042315
7796964400
Source: CMS National Downloadable File, September 2026.