# SIGNATURE RETINA CONSULTANTS PC

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

## Provider details

- **NPI number:** 1821714940
- **Authorized official:** SUMIT BHATIA MD (OWNER / PROVIDER)
- **Authorized official phone:** (815) 390-7271

## Contact information

- **Practice address:** 2010 JACOBSSEN DR STE C, NORMAL, IL 61761-6280
- **Practice address phone:** (815) 390-7271
- **Mailing address:** 170 E MAIN ST, BRAIDWOOD, IL 60408-1912
- **Mailing address phone:** (815) 390-7271

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | — | NULL | Yes |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/19/2022
- **Last updated:** 03/27/2026
