Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 2008
NPI: 1972759363
Practice Locations (2)
1101 W JACKSON BLVD
CHICAGO, IL 606072905
3122432446
R A VISION CORPORATION
118 MAIN ST
PARK RIDGE, IL 600684030
8476966444
Source: CMS National Downloadable File, September 2026.