Suburban Urology Associates,Ltd in Berwyn - Specialist

Suburban Urology Associates,Ltd - NPI 1366626996

Suburban Urology Associates,Ltd is a Specialist in Berwyn, Illinois. Suburban Urology Associates,Ltd practices all healthcare services and medical treatments related to Specialist. The NPI Number for Suburban Urology Associates,Ltd is 1366626996. The last update date is 2010-12-14.

Suburban Urology Associates,Ltd's current location address is 3340 Oak Park Ave, Berwyn, Illinois. You can contact this provider via phone number 7084846019 and fax number 7084840251. The mailing address for Suburban Urology Associates,Ltd is 3340 Oak Park Ave, Berwyn, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Suburban Urology Associates,Ltd
Address 3340 Oak Park Ave, Berwyn, Illinois
Phone Number 7084846019
Fax Number 7084840251
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Misurec Peter
Credentials M,D.
Telephone Number 7084846019

NPI Number Detail

NPI Number 1366626996
Provider Enumeration Date 2007-12-18
Last Updated Date 2010-12-14

Provider Mailing Address Detail

Address 3340 Oak Park Ave
City Berwyn
State Illinois (IL)
Post Code 604023420
Phone Number 7084846019
Fax Number 7084840251

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 36061571
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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FAQs about Suburban Urology Associates,Ltd

What is the unique identifier code issued to Suburban Urology Associates,Ltd by the Centers for Medicare & Medicaid Services (CMS)?

The Suburban Urology Associates,Ltd has been assigned the NPI (National Provider Identifier) 1366626996. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Suburban Urology Associates,Ltd's facilities are situated?

The facilities of Suburban Urology Associates,Ltd are physically located at the following address: 3340 Oak Park Ave, Berwyn, IL, 604023420.

What is the area of specialization for Suburban Urology Associates,Ltd, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Suburban Urology Associates,Ltd is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1366626996 to Suburban Urology Associates,Ltd?

The Centers for Medicare & Medicaid Services assigned the 1366626996 to Suburban Urology Associates,Ltd on 2007-12-18.

As of what date were the details related to Suburban Urology Associates,Ltd most recently updated or revised?

The information pertaining to Suburban Urology Associates,Ltd, including its address, specialty, and other relevant details, was last updated or revised on 2010-12-14.

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