Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 2004
NPI: 1023078961
Practice Locations (2)
ILLIANA EYECARE INC
13115 WICKER AVE, SUITE E
CEDAR LAKE, IN 463037400
ILLIANA EYECARE INC
13115 WICKER AVE E
CEDAR LAKE, IN 463037400
2193747800
Source: CMS National Downloadable File, September 2026.