Retina of Illinois, SC
Retina of Illinois, SC is an Ophthalmology Physician in Bourbonnais, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
Practice location Address checks out
475 Brown Blvd Ste 109Bourbonnais, IL 60914-2325
Phone: (815) 802-2090
Fax: (815) 802-2093
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ophthalmology Physician (primary) | Taxonomy 207W00000X (IL) |
|---|
Record details
| NPI number | 1588706733 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Aashish Gandhi — President · (217) 898-7686 |
| NPI enumerated | February 13, 2007 |
| Last updated in NPPES | July 24, 2007 |
| Mailing address | 475 Brown Blvd, Suite 109, Bourbonnais, IL 60914-2325 |
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