NORTHERN ILLINOIS RETINA LTD is a retina specialist ophthalmology in Rockford, IL. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. NORTHERN ILLINOIS RETINA LTD NPI is 1942483664. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1235 N MULFORD RD
SUITE 100
ROCKFORD, IL
ZIP 61107-879
Phone: (815) 226-4990
Fax: (815) 226-9472
The provider's authorized official is Susan M Fowell .
The authorized official title is President and has the following contact phone number (815) 226-4990.
The enumeration date for this NPI number is 12/17/2007 and was last updated on 7/6/2017.