Dr Susan M Fowell, MD | |
1235 N Mulford Rd, Suite 100, Rockford, IL 61107-3879 | |
(815) 226-4990 | |
(815) 226-9472 |
Full Name | Dr Susan M Fowell |
---|---|
Gender | Female |
Speciality | Ophthalmology |
Experience | 40 Years |
Location | 1235 N Mulford Rd, Rockford, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821091075 | NPI | - | NPPES |
363734974 | Other | IL | TAX ID# |
036073359 | Medicaid | IL | |
036073359 | Other | IL | IL STATE LICENSE # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 036073359 (Illinois) | Secondary |
207WX0107X | Ophthalmology - Retina Specialist | 036073359 (Illinois) | Primary |
Entity Name | Northern Illinois Retina Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942483664 PECOS PAC ID: 9436111986 Enrollment ID: O20041028000081 |
Mailing Address | Practice Location Address |
---|---|
Dr Susan M Fowell, MD 1235 N Mulford Rd, Suite 100, Rockford, IL 61107-3879 Ph: (815) 226-4990 | Dr Susan M Fowell, MD 1235 N Mulford Rd, Suite 100, Rockford, IL 61107-3879 Ph: (815) 226-4990 |
Dr. Richard A Miller, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2995 Eastrock Dr, Rockford, IL 61109 Phone: 815-226-1500 Fax: 815-484-9600 | |
Sina Bahmanyar, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1075 Featherstone Rd, Ste 10, Rockford, IL 61107 Phone: 815-395-1157 | |
Dr. Ahmet Ozkok, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2995 Eastrock Dr, Rockford, IL 61109 Phone: 815-226-1500 | |
Richard Terry Coppoletti, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 4320 Morsay Dr, Rockford, IL 61107 Phone: 815-399-7000 Fax: 815-399-7061 | |
Woosuk Steve Yoon, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4777 E State St, Rockford, IL 61108 Phone: 815-227-0077 Fax: 815-227-5886 | |
Azizur Rahman, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 695 N Perryville Rd, Rockford, IL 61107 Phone: 815-904-6011 Fax: 815-399-5543 | |
Dr. Hugo R Steinitz, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 3865 N Mulford Rd, Rockford, IL 61114 Phone: 815-399-2190 Fax: 815-399-5543 |