Northern Illinois Retina Ltd
Northern Illinois Retina Ltd is an Ophthalmology Physician in Rockford, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- Ltd — Limited
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1235 N Mulford Rd Ste 100Rockford, IL 61107-3879
Phone: (815) 226-4990
Fax: (815) 226-9472
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Retina Specialist (Ophthalmology) Physician (primary) | Taxonomy 207WX0107X · Licence 036073359 (IL) |
|---|---|
| Ophthalmology Physician | Taxonomy 207W00000X · Licence 042006794 (IL) |
Record details
| NPI number | 1942483664 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Susan Fowell — President · (815) 226-4990 |
| NPI enumerated | December 17, 2007 |
| Last updated in NPPES | July 6, 2017 |
| Mailing address | 1235 N Mulford Rd, Suite 100, Rockford, IL 61107-3879 |
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