Graduated: 1998
NPI: 1992803985
Practice Locations (2)
MACOUPIN COUNTY PUBLIC HEALTH DEPARTMENT
1115 MORGAN ST
CARLINVILLE, IL 626261438
2178543692
MACOUPIN COUNTY PUBLIC HEALTH DEPARTMENT
109 E MAPLE ST
GILLESPIE, IL 620331473
2178391526
Source: CMS National Downloadable File, September 2026.