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Loren Roustio, MD
Urology Physician in Maywood, Illinois
NPI 1285269985

Loren Roustio is a Urology Physician based in Maywood, IL. Loren Roustio practices in Maywood, IL and has the professional credentials of MD. The NPI Number for Loren Roustio is 1285269985 and holds a License No. (Illinois).

The current practice location address for Loren Roustio is 2160 S 1St Ave, Maywood, IL and can be reached out via phone at 888-584-7888.

Location: 2160 S 1St Ave, Maywood, IL, 60153-3328
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285269985
Provider Name
Loren Roustio
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2160 S 1St Ave, Maywood, IL, 60153-3328
Phone Number
888-584-7888
Fax Number
Provider Enumeration Date
03/03/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2160 S 1St Ave
City
Maywood
State
Illinois
Zip
60153-3328
Phone Number
888-584-7888
Fax Number
person
Provider Business Mailing Address Details
Address
2160 S 1St Ave
City
Maywood
State
Illinois
Zip
60153-3328
Phone Number
888-584-7888
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
125.077718 (Illinois)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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