Medical school: TUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2021
NPI: 1962080754
Practice Locations (2)
SIU PHYSICIANS AND SURGEONS INC
102 W KENWOOD AVE, LOWR LEVEL
DECATUR, IL 625264368
2175458000
SODERSTROM DERMATOLOGY CENTER S C
4909 N GLEN PARK PLACE RD
PEORIA, IL 616144676
3096747546
Source: CMS National Downloadable File, September 2026.