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Dr. Susan M Fowell, MD
Retina Specialist (Ophthalmology) Physician in Rockford, Illinois
NPI 1821091075

Susan M Fowell is a Retina Specialist (Ophthalmology) Physician based in Rockford, IL and is specialized in Retina Specialist. Susan M Fowell practices in Rockford, IL and has the professional credentials of MD. The NPI Number for Susan M Fowell is 1821091075 and holds a License No. 036073359 (Illinois).

The current practice location address for Susan M Fowell is 1235 N Mulford Rd, Rockford, IL and can be reached out via phone at 815-226-4990 and via fax at 815-226-9472.

Location: 1235 N Mulford Rd, Rockford, IL, 61107-3879
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821091075
Provider Name
Susan M Fowell
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1235 N Mulford Rd, Rockford, IL, 61107-3879
Phone Number
815-226-4990
Fax Number
815-226-9472
Provider Enumeration Date
05/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
363734974 01 IL TAX ID#
036073359 05 IL
036073359 01 IL IL STATE LICENSE #
institution
Provider Business Practice Location Address Details
Address
1235 N Mulford Rd
City
Rockford
State
Illinois
Zip
61107-3879
Phone Number
815-226-4990
Fax Number
815-226-9472
person
Provider Business Mailing Address Details
Address
1235 N Mulford Rd
City
Rockford
State
Illinois
Zip
61107-3879
Phone Number
815-226-4990
Fax Number
815-226-9472
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Ophthalmology
Speciality
-
Taxonomy
207W00000X
License No.
036073359 (Illinois)
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Ophthalmology
Speciality
Retina Specialist
Taxonomy
207WX0107X
License No.
036073359 (Illinois)
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
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