Dr. Susan M Fowell, MD
Ophthalmology Physician in Rockford, Illinois
NPI 1821091075
Susan M Fowell is a Ophthalmology Physician based in Rockford, IL. 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 at815-226-9472. You can also correspond with Susan M Fowell through the mailing address at 1235 N MULFORD RD, ROCKFORD, IL - 61107-3879 (mailing address contact number: 815-226-4990).
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
07/06/2017
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036073359 | 05 | IL | |
| 363734974 | 01 | IL | TAX ID# |
| 036073359 | 01 | IL | IL STATE LICENSE # |
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
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
Provider's Primary Taxonomy Details
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.