# DEKALB EYE CONSULTANTS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rockford Retina Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922507474
- **Authorized official:** GEORGE L NEAL (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (469) 214-0144

## Contact information

- **Practice address:** 1075 FEATHERSTONE RD STE 10, ROCKFORD, IL 61107-5906
- **Practice address phone:** (815) 395-1157
- **Mailing address:** 1630 GATEWAY DR, SYCAMORE, IL 60178-3182
- **Mailing address phone:** (815) 856-8571
- **Mailing address fax:** (815) 756-5603

## Taxonomy

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

## Other

- **Enumeration date:** 02/09/2018
- **Last updated:** 02/05/2020