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Organization
KIDS UROLOGY. S.C.
Active
Organization
KIDS UROLOGY. S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. REGINA A ALLARD (PRACTICE MANAGER)
(773) 880-3252
Entity
Organization
Contact information
Practice address
2300 N CHILDRENS PLZ # 24, CHICAGO, IL 60614-3363
(773) 880-3252
Mailing address
2300 N CHILDRENS PLZ # 24, CHICAGO, IL 60614-3363
(773) 880-3252
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
—
NULL
2088P0231X
Pediatric Urology Physician
Primary
—
—
Other
Enumeration date
10/23/2007
Last updated
10/23/2007
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