Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 1999
NPI: 1518034586
Practice Locations (2)
NORTHSHORE HEALTH CENTERS INC
2490 CENTRAL AVE
LAKE STATION, IN 464052122
2197638112
NORTHSHORE HEALTH CENTERS INC
6050 STERLING CREEK RD
PORTAGE, IN 463687752
21976381123233
Source: CMS National Downloadable File, September 2026.