Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 1991
NPI: 1790778108
Practice Locations (2)
ILLINOIS COLLEGE OF OPTOMETRY
3241 S MICHIGAN AVE
CHICAGO, IL 606163878
3129497751
MELROSE PARK EYE CARE LLC
904 W N AVE
MELROSE PARK, IL 601601520
7083439009
Source: CMS National Downloadable File, September 2026.