Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 1981
NPI: 1376501767
Practice Locations (3)
14223 CHICAGO RD
Dolton, IL 604191203
14223 CHICAGO RD
DOLTON, IL 604191203
14223 MARTIN LUTHER KING JR DR
DOLTON, IL 604191203
7088490690
Source: CMS National Downloadable File, September 2026.