Healthcare Provider Details

I. General information

NPI: 1841122553
Provider Name (Legal Business Name): UROPARTNERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 LAKEWOOD DR UNIT 3
MORRIS IL
60450-3352
US

IV. Provider business mailing address

1401 LAKEWOOD DR UNIT 3
MORRIS IL
60450-3352
US

V. Phone/Fax

Practice location:
  • Phone: 815-941-2990
  • Fax:
Mailing address:
  • Phone: 815-941-2990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JUSTIN COHEN
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 708-273-3062