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ILLINOIS RETINA INSTITUTE, SC
NPI 1003875436
Ophthalmology in Peru, IL

Active since March 23, 2006
3602 MARQUETTE RD, PERU, IL 61354(815) 223-7400(815) 223-7477 Get Directions Write a Review

NPPES record last updated: October 30, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Illinois Retina Institute, Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ILLINOIS RETINA INSTITUTE, SC (NPI 1003875436) is a healthcare organization registered as an ophthalmology in Peru, Illinois and active in the NPI registry since March 2006. The organization lists Kamal Kishore, President, as its authorized official.

NPPES Registry Identity

NPI1003875436
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameILLINOIS RETINA INSTITUTE, SC
Location Address3602 MARQUETTE RDPeru, IL 61354-1450
Mailing AddressPo Box 36Peru, IL 61354-0036 · (815) 223-7400
Phone(815) 223-7400
Fax(815) 223-7477
Organization SubpartNo
Authorized OfficialKamal KishorePresident · (815) 223-7400
Enumeration DateMarch 23, 2006
Last NPPES UpdateOctober 30, 2015
✔ NPI 1003875436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in IL · 036100858
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.
3602 MARQUETTE RD, Peru, IL 61354
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Other Identifiers 3

Medicare UPING54298
Medicare PIN204115IL
Medicaid036100858IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAMAL KISHORE M.D.
Ophthalmology
3602 MARQUETTE RD
PERU, IL 61354
Lasalle County (815) 223-7400
GYNGER LENTZ APRN
Nurse Practitioner
3602 MARQUETTE RD
PERU, IL 61354
Lasalle County (815) 223-7400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Illinois Retina Institute, Sc's NPI number?

The NPI number for Illinois Retina Institute, Sc is 1003875436. It was assigned to this organization in the NPPES registry on March 23, 2006.

Where is Illinois Retina Institute, Sc located?

Illinois Retina Institute, Sc is located at 3602 Marquette Rd, Peru, IL 61354. The listed phone number is (815) 223-7400.

What is Illinois Retina Institute, Sc's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

When was this NPI record last updated?

The NPPES record for Illinois Retina Institute, Sc was last updated on October 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.