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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NORTHERN ILLINOIS RETINA LTD

Active Organization

NORTHERN ILLINOIS RETINA LTD is a Sports Medicine (Emergency) organization located in ROCKFORD, Illinois. NPI 1942483664 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (Emergency) · ROCKFORD, IL

Registration Details

NPI Number
1942483664
Provider Type
Organization
NPI Issued
Dec 17, 2007 (18.701697591245 yrs)
Last Updated
Jul 6, 2017
Licenses
042006794 (IL)
036073359 (IL)

Practice Information

Address
1235 N MULFORD RD
SUITE 100
ROCKFORD, IL, 611073879
Browse IL providers · Browse ZIP 61107
Phone
8152264990
Fax
8152269472
Primary Specialty
Sports Medicine (Emergency)
207WX0107X
Additional Specialty
Sports Medicine (Emergency)
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.