Northern Illinois Retina Ltd in Rockford - Ophthalmology
Northern Illinois Retina Ltd - NPI 1942483664
Northern Illinois Retina Ltd is a Ophthalmology in Rockford, Illinois. Northern Illinois Retina Ltd practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Northern Illinois Retina Ltd is 1942483664. The last update date is 2017-07-06.
Northern Illinois Retina Ltd's current location address is 1235 N Mulford Rd, Rockford, Illinois. You can contact this provider via phone number 8152264990 and fax number 8152269472. The mailing address for Northern Illinois Retina Ltd is 1235 N Mulford Rd, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northern Illinois Retina Ltd |
|---|---|
| Address | 1235 N Mulford Rd, Rockford, Illinois |
| Phone Number | 8152264990 |
| Fax Number | 8152269472 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Fowell M Susan |
| Credentials | M.D. |
| Telephone Number | 8152264990 |
NPI Number Detail
| NPI Number | 1942483664 |
|---|---|
| Provider Enumeration Date | 2007-12-17 |
| Last Updated Date | 2017-07-06 |
Provider Mailing Address Detail
| Address | 1235 N Mulford Rd |
|---|---|
| City | Rockford |
| State | Illinois (IL) |
| Post Code | 611073879 |
| Phone Number | 8152264990 |
| Fax Number | 8152269472 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | 42006794 |
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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 |
|---|---|---|---|
| 1942483664 | IL | NPI |
Post Comment/ Review Below
What is the unique provider identifier assigned to Northern Illinois Retina Ltd?
The Northern Illinois Retina Ltd has been issued the NPI (National Provider Identifier) 1942483664 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
What is Northern Illinois Retina Ltd's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Northern Illinois Retina Ltd is Ophthalmology, and the taxonomy code that classifies this field of practice is 207W00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1942483664 to Northern Illinois Retina Ltd?
The Centers for Medicare & Medicaid Services originally issued the 1942483664 to Northern Illinois Retina Ltd on 2007-12-17.
As of what date were the details pertaining to Northern Illinois Retina Ltd last refreshed?
The information related to the Northern Illinois Retina Ltd, including its address, specialty, and other relevant details, was last updated on 2017-07-06.
When was the information regarding Northern Illinois Retina Ltd, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Northern Illinois Retina Ltd, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2017-07-06.
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