Advanced Urology Center, S.C.
Urology in Forest Park, IL. Organization (NPI-2).
NPI number1043489263
StatusActive
Last updated in NPPESFeb 21, 2008
Details
- NPI
- 1043489263
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Urology Center, S.C.
- Organization subpart
- No
- Enumeration date
- Feb 21, 2008
- Last updated
- Feb 21, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | – | – | Yes |
Practice location
7318 Madison StForest Park, IL 60130-3100
Phone 708-771-4171 · Fax 708-771-4330
Mailing address
7318 Madison StForest Park, IL 60130-3100
Phone 708-771-4171 · Fax 708-771-4330
Authorized official
Alan Sadah
Owner
7087714171
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