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Advanced Urologic Surgeons Pc
Specialist in Mount Vernon, Illinois
NPI 1093901340

Advanced Urologic Surgeons Pc is a Specialist based in Mount Vernon, IL. Advanced Urologic Surgeons Pc practices in Mount Vernon, IL. The NPI Number for Advanced Urologic Surgeons Pc is 1093901340 and holds a License No. 036114878 (Illinois).

The current practice location address for Advanced Urologic Surgeons Pc is 604 Seville Dr, Mount Vernon, IL and can be reached out via phone at 618-244-4060 and via fax at 618-244-4061.

Location: 604 Seville Dr, Mount Vernon, IL, 62864-7001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093901340
Provider Name
Advanced Urologic Surgeons Pc
Credential
Provider Entity Type
Organization
Address
604 Seville Dr, Mount Vernon, IL, 62864-7001
Phone Number
618-244-4060
Fax Number
618-244-4061
Provider Enumeration Date
09/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DE2609 01 IL RAILROAD
institution
Provider Business Practice Location Address Details
Address
604 Seville Dr
City
Mount Vernon
State
Illinois
Zip
62864-7001
Phone Number
618-244-4060
Fax Number
618-244-4061
person
Provider Business Mailing Address Details
Address
604 Seville Dr
City
Mount Vernon
State
Illinois
Zip
62864-7001
Phone Number
618-244-4060
Fax Number
618-244-4061
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
036114878 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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