Retina of Illinois, S.c.

NPI #1588706733 in Bourbonnais, Illinois

Provider Information

NPI Number
1588706733
Entity Type
Organization
Organization Name
Retina of Illinois, S.c.
Primary Specialty
Ophthalmology
Enumeration Date
Feb 13, 2007
Last Updated
Jul 24, 2007

Practice Location

Address
475 BROWN BLVD
Address 2
SUITE 109
ZIP Code
60914-2325
Phone
(815) 802-2090

Authorized Official

Name
DR. AASHISH V GANDHI, M.D.
Title
PRESIDENT
Phone
(217) 898-7686

Specialties & Taxonomy Codes

Specialty
Ophthalmology

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