Illinois Retina Institute, Sc

NPI #1003875436 in Peru, Illinois

Provider Information

NPI Number: 1003875436
Entity Type: Organization
Organization Name: Illinois Retina Institute, Sc
Primary Specialty: Ophthalmology
Enumeration Date: Mar 23, 2006
Last Updated: Oct 30, 2015

Practice Location

Address: 3602 MARQUETTE RD
City: Peru
State: Illinois
ZIP Code: 61354-1450
Phone: (815) 223-7400

Authorized Official

Name: KAMAL KISHORE, MD
Title: PRESIDENT
Phone: (815) 223-7400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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