Northern Illinois Retina Ltd
NPI #1942483664 in Rockford, Illinois
Provider Information
- NPI Number
- 1942483664
- Entity Type
- Organization
- Organization Name
- Northern Illinois Retina Ltd
- Primary Specialty
- Ophthalmology - Retina Specialist
- Enumeration Date
- Dec 17, 2007
- Last Updated
- Jul 6, 2017
Practice Location
Authorized Official
- Name
- SUSAN M FOWELL, M.D.
- Title
- PRESIDENT
- Phone
- (815) 226-4990
Specialties & Taxonomy Codes
| Specialty |
|---|
| Ophthalmology |
| Ophthalmology - Retina Specialist — Retina Specialist |
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