IndividualActive
Susan Fowell, MD
NPI 1821091075 · Retina Specialist (Ophthalmology) Physician · Rockford, IL
Provider details
- NPI number
- 1821091075
- Entity type
- Individual
- Primary specialty
- Retina Specialist (Ophthalmology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 036073359 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1235 N Mulford Rd
Suite 100
Rockford, IL 61107-3879
Phone: (815) 226-4990
Fax: (815) 226-9472
Approximate (ZIP-level) locationGet directions
Mailing address
1235 N Mulford Rd
Rockford, IL 61107-3879
Registry dates
- Enumerated
- 2005-05-23
- Last updated
- 2017-07-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.