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Illinois Urological Institute
Specialist in Wheaton, Illinois
NPI 1336173509

Illinois Urological Institute is a Specialist based in Wheaton, IL. Illinois Urological Institute practices in Wheaton, IL. The NPI Number for Illinois Urological Institute is 1336173509 and holds a License No. (Illinois).

The current practice location address for Illinois Urological Institute is 311 South County Farm Road, Wheaton, IL and can be reached out via phone at 630-690-6400 and via fax at 630-690-6482.

Location: 311 South County Farm Road, Wheaton, IL, 60187
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336173509
Provider Name
Illinois Urological Institute
Credential
Provider Entity Type
Organization
Address
311 South County Farm Road, Wheaton, IL, 60187
Phone Number
630-690-6400
Fax Number
630-690-6482
Provider Enumeration Date
07/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2201791 01 IL BLUECROSS BLUESHIELD
institution
Provider Business Practice Location Address Details
Address
311 South County Farm Road
City
Wheaton
State
Illinois
Zip
60187
Phone Number
630-690-6400
Fax Number
630-690-6482
person
Provider Business Mailing Address Details
Address
311 South County Farm Road
City
Wheaton
State
Illinois
Zip
60187
Phone Number
630-690-6400
Fax Number
630-690-6482
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
(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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