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Contact Information

GLAUCOMA ASSOCIATES OF ILLINOIS LLC
695 N PERRYVILLE RD STE 3
ROCKFORD, IL61107-6225
 Phone: 815-904-6011
 Fax: 815-904-6171
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for GLAUCOMA ASSOCIATES OF ILLINOIS LLC · (Female)

NPI # 1720590375
Status Active
Credentials
Entity Individual
Enumeration date 11/03/2017
Last updated 03/20/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 036129423
  • IL Medicaid 036129423
  • Other P01320105 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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