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General NPI Number Information
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NPI Number | 1154487957
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Entity Type | Organization
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Legal Business Name | UROPARTNERS, LLC
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 05/17/2012
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Provider Practice Location Address
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Address Line | 7447 W TALCOTT AVE STE. 509
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City | CHICAGO
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State | IL
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Zip | 60631-3745
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Country | US
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Telephone | 773-775-0800
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Fax | 847-823-6677
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Provider Business Mailing Address
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Address Line | 7900 N MILWAUKEE AVE STE 17
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City | NILES
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State | IL
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Zip | 60714-3159
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Country | US
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Telephone | 847-470-1500
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Fax | 847-470-1550
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Authorized Official
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Title or Position | AUTHORIZED REPRESENTATIVE
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Name | RICHARD G HARRIS
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Credential | MD
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Telephone | 708-450-5055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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