Healthcare Provider Details
I. General information
NPI: 1821042755
Provider Name (Legal Business Name): UROPARTNERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/22/2006
Last Update Date: 06/25/2025
Certification Date: 06/25/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
950 N YORK RD STE 208
HINSDALE IL
60521-8609
US
IV. Provider business mailing address
950 N YORK RD STE 208
HINSDALE IL
60521-8609
US
V. Phone/Fax
- Phone: 630-887-0580
- Fax: 630-887-0618
- Phone: 630-887-0580
- Fax: 630-887-0618
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208800000X |
| Taxonomy | Urology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363A00000X |
| Taxonomy | Physician Assistant |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RICHARD
HARRIS
Title or Position: AUTHORIZED REPRESENTATIVE
Credential: MD
Phone: 708-450-5055