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Dr. Merrit Marion Debartolo, MD
Urology Physician in Woodstock, Illinois
NPI 1427379189

Merrit Marion Debartolo is a Urology Physician based in Woodstock, IL. Merrit Marion Debartolo practices in Woodstock, IL and has the professional credentials of MD. The NPI Number for Merrit Marion Debartolo is 1427379189 and holds a License No. 036-140512 (Illinois).

The current practice location address for Merrit Marion Debartolo is 2000 Lake Ave, Woodstock, IL and can be reached out via phone at 815-337-7100 and via fax at 815-337-4793.

Location: 2000 Lake Ave, Woodstock, IL, 60098-7401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427379189
Provider Name
Merrit Marion Debartolo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2000 Lake Ave, Woodstock, IL, 60098-7401
Phone Number
815-337-7100
Fax Number
815-337-4793
Provider Enumeration Date
06/17/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1427379189 05 WI
institution
Provider Business Practice Location Address Details
Address
2000 Lake Ave
City
Woodstock
State
Illinois
Zip
60098-7401
Phone Number
815-337-7100
Fax Number
815-337-4793
person
Provider Business Mailing Address Details
Address
2000 Lake Ave
City
Woodstock
State
Illinois
Zip
60098-7401
Phone Number
815-337-7100
Fax Number
815-337-4793
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
036-140512 (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.
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