Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2000
Offers telehealth
NPI: 1962428003
Practice Locations (1)
BLOOMINGTON PRIMARY CARE, LTD.
9 HEARTLAND DR, SUITE C
BLOOMINGTON, IL 617047733
3096637642901
Source: CMS National Downloadable File, September 2026.