Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 1991
NPI: 1912050527
Practice Locations (2)
EYESITE-ILLINOIS VALLEY, L.L.C.
925 CLINTON ST
OTTAWA, IL 613502037
8154347970
EYESITE-ILLINOIS VALLEY, L.L.C.
215 RICHARD A MAUTINO DR
SPRING VALLEY, IL 613621144
8156645331
Source: CMS National Downloadable File, September 2026.