institution
Effingham Urology Associates,s.c.
Health Service Clinic/Center in Effingham, Illinois
NPI 1902911431

Effingham Urology Associates,s.c. is a Health Service Clinic/Center based in Effingham, IL and is specialized in Health Service. Effingham Urology Associates,s.c. practices in Effingham, IL. The NPI Number for Effingham Urology Associates,s.c. is 1902911431 and holds a License No. 042003881 (Illinois).

The current practice location address for Effingham Urology Associates,s.c. is 414 W Virginia Ave, Effingham, IL and can be reached out via phone at 217-342-9738 and via fax at 217-342-9806.

Location: 414 W Virginia Ave, Effingham, IL, 62401-2258
institution
Provider Profile Details
NPI Number
1902911431
Provider Name
Effingham Urology Associates,s.c.
Credential
Provider Entity Type
Organization
Address
414 W Virginia Ave, Effingham, IL, 62401-2258
Phone Number
217-342-9738
Fax Number
217-342-9806
Provider Enumeration Date
08/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0002500053 01 IL BCBS
CC9824 01 IL RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
414 W Virginia Ave
City
State
Zip
62401-2258
Phone Number
217-342-9738
Fax Number
217-342-9806
person
Provider Business Mailing Address Details
Address
414 W Virginia Ave
City
State
Zip
62401-2258
Phone Number
217-342-9738
Fax Number
217-342-9806
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
License No.
042003881 (Illinois)
Definition
Definition to come...
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