Organization
NORTH INDIANA RETINA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP KUROCHKIN (OWNER)
(347) 541-4133
Entity
Organization
Contact information
Practice address
303 S MAIN ST STE 215, MISHAWAKA, IN 46544-2160
(574) 291-4000
(260) 279-3211
Mailing address
303 S MAIN ST, MISHAWAKA, IN 46544-2189
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
08/08/2025
Last updated
01/18/2026
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