Healthcare Provider Details

I. General information

NPI: 1427021518
Provider Name (Legal Business Name): UROPARTNERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2006
Last Update Date: 07/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1725 W HARRISON ST SUITE 352
CHICAGO IL
60612-3841
US

IV. Provider business mailing address

1725 W HARRISON ST SUITE 352
CHICAGO IL
60612-3841
US

V. Phone/Fax

Practice location:
  • Phone: 312-563-5000
  • Fax: 312-563-5007
Mailing address:
  • Phone: 312-563-5000
  • Fax: 312-563-5007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number
License Number State

VIII. Authorized Official

Name: RICHARD HARRIS
Title or Position: PRESIDENT/CEO
Credential: MD
Phone: 708-450-5055