Basic Information
| Provider Information | |||||||||
| NPI: | 1578894291 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | UROPARTNERS, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 900 RAND RD | ||||||||
| Address2: | SUITE 120 | ||||||||
| City: | DES PLAINES | ||||||||
| State: | IL | ||||||||
| PostalCode: | 600162359 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8478233185 | ||||||||
| FaxNumber: | 8478233318 | ||||||||
| Practice Location | |||||||||
| Address1: | 7447 W. TALCOTT | ||||||||
| Address2: | SUITE 515 | ||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 606313745 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8478233185 | ||||||||
| FaxNumber: | 8478233318 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/20/2010 | ||||||||
| LastUpdateDate: | 05/10/2011 | ||||||||
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| AuthorizedOfficialLastName: | HARRIS | ||||||||
| AuthorizedOfficialFirstName: | RICHARD | ||||||||
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| AuthorizedOfficialTitleorPosition: | MANAGING PARTNER | ||||||||
| AuthorizedOfficialTelephone: | 7084505055 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208800000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Urology |
No ID Information.