OrganizationActive
Illinois Retina Institute, Sc
NPI 1003875436 · Ophthalmology Physician · Peru, IL
Provider details
- NPI number
- 1003875436
- Entity type
- Organization
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kamal Kishore, President(815) 223-7400
- License
- 036100858 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3602 Marquette Rd
Peru, IL 61354-1450
Phone: (815) 223-7400
Fax: (815) 223-7477
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 36
Peru, IL 61354-0036
Registry dates
- Enumerated
- 2006-03-23
- Last updated
- 2015-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.