Provider Demographics
NPI:1316488414
Name:RETINA HEALTH INSTITUTE SC
Entity type:Organization
Organization Name:RETINA HEALTH INSTITUTE SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD & PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RASHMI
Authorized Official - Middle Name:
Authorized Official - Last Name:KAPUR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-448-1030
Mailing Address - Street 1:2320 HUNTINGTON DR N
Mailing Address - Street 2:
Mailing Address - City:ALGONQUIN
Mailing Address - State:IL
Mailing Address - Zip Code:60102-4420
Mailing Address - Country:US
Mailing Address - Phone:847-488-1030
Mailing Address - Fax:847-488-0677
Practice Address - Street 1:2320 HUNTINGTON DR N
Practice Address - Street 2:
Practice Address - City:ALGONQUIN
Practice Address - State:IL
Practice Address - Zip Code:60102-4420
Practice Address - Country:US
Practice Address - Phone:847-488-1030
Practice Address - Fax:847-488-0677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-09
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036128045207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty