Illinois Retina Institute, Sc in Peru - Ophthalmology
Illinois Retina Institute, Sc - NPI 1003875436
Illinois Retina Institute, Sc is a Ophthalmology in Peru, Illinois. Illinois Retina Institute, Sc practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Illinois Retina Institute, Sc is 1003875436. The last update date is 2015-10-30.
Illinois Retina Institute, Sc's current location address is Po Box 36, Peru, Illinois. You can contact this provider via phone number 8152237400. The mailing address for Illinois Retina Institute, Sc is Po Box 36, Peru, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Illinois Retina Institute, Sc |
|---|---|
| Address | Po Box 36, Peru, Illinois |
| Phone Number | 8152237400 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Kishore Kamal |
| Credentials | MD |
| Telephone Number | 8152237400 |
NPI Number Detail
| NPI Number | 1003875436 |
|---|---|
| Provider Enumeration Date | 2006-03-23 |
| Last Updated Date | 2015-10-30 |
Provider Mailing Address Detail
| Address | Po Box 36 |
|---|---|
| City | Peru |
| State | Illinois (IL) |
| Post Code | 613540036 |
| Phone Number | 8152237400 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | 36100858 |
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Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36100858 | IL | -- |
Post Comment/ Review Below
What is the Illinois Retina Institute, Sc's 1003875436?
The Illinois Retina Institute, Sc's NPI (National Provider Identifier) Number is 1003875436. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Illinois Retina Institute, Sc's facilities are situated?
The facilities of Illinois Retina Institute, Sc are physically located at the following address: Po Box 36, Peru, IL, 613540036.
What is Illinois Retina Institute, Sc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Illinois Retina Institute, Sc is Ophthalmology, and the taxonomy code that categorizes this field of expertise is 207W00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1003875436 to Illinois Retina Institute, Sc?
The Centers for Medicare & Medicaid Services originally issued the 1003875436 to Illinois Retina Institute, Sc on 2006-03-23.
As of what date was the information pertaining to Illinois Retina Institute, Sc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Illinois Retina Institute, Sc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-10-30.