Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 2010
NPI: 1811299324
Practice Locations (2)
11914, 59 UNIT 106
PLAINFIELD, IL 605855110
11914 S ROUTE 59, UNIT 106
PLAINFIELD, IL 605855110
8156764474
Source: CMS National Downloadable File, September 2026.