# ROCKFORD EYE & LASER CENTER LTD.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073015434
- **Authorized official:** DR. WOOSUK STEVE YOON M.D. (PRESIDENT)
- **Authorized official phone:** (815) 227-0077

## Contact information

- **Practice address:** 4301 N MULFORD RD, LOVES PARK, IL 61111-6955
- **Practice address phone:** (815) 227-0077
- **Practice address fax:** (815) 227-5886
- **Mailing address:** 4301 N MULFORD RD, LOVES PARK, IL 61111-6955
- **Mailing address phone:** (815) 227-0077
- **Mailing address fax:** (815) 227-5886

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/01/2018
- **Last updated:** 03/01/2018