OrganizationActive
Northern Illinois Retina Ltd
NPI 1942483664 · Retina Specialist (Ophthalmology) Physician · Rockford, IL
Provider details
- NPI number
- 1942483664
- Entity type
- Organization
- Primary specialty
- Retina Specialist (Ophthalmology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Susan Fowell, President(815) 226-4990
- License
- 042006794 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
1235 N Mulford Rd
Suite 100
Rockford, IL 61107-3879
Phone: (815) 226-4990
Fax: (815) 226-9472
Street-level locationGet directions
Mailing address
1235 N Mulford Rd
Rockford, IL 61107-3879
Registry dates
- Enumerated
- 2007-12-17
- 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.