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General NPI Number Information
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NPI Number | 1467471540
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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 | 07/19/2006
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Last Update Date | 12/07/2023
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Provider Practice Location Address
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Address Line | 10400 SOUTHWEST HWY
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City | CHICAGO RIDGE
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State | IL
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Zip | 60415-1367
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Country | US
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Telephone | 708-336-7701
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Fax | 708-336-7710
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Provider Business Mailing Address
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Address Line | 29661 NETWORK PL
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City | CHICAGO
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State | IL
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Zip | 60673-1296
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Country | US
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Telephone | 708-923-2400
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Fax | 708-923-2401
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Authorized Official
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Title or Position | CEO
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Name | RICHARD GERALD 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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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