Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 1977
NPI: 1891747259
Practice Locations (2)
SHOPTIKAL LLC
1918 GATEWAY CTR DR
BELVIDERE, IL 610089303
8155473456
SHOPTIKAL LLC
1524 S W AVE
FREEPORT, IL 610326702
8152323057
Source: CMS National Downloadable File, September 2026.