Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 1988
NPI: 1023124518
Practice Locations (2)
SHOPTIKAL LLC
1918 GATEWAY CTR DR
BELVIDERE, IL 610089303
8155473456
SHOPTIKAL LLC
28952 W IL ROUTE 120
LAKEMOOR, IL 600512215
8159005802
Source: CMS National Downloadable File, September 2026.