# UROHEALTH INSTITUTE, L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710020052
- **Authorized official:** DR. BENNETT P SCAGLIA M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (309) 888-4000

## Contact information

- **Practice address:** 2005 JACOBSSEN DR, SUITE A, NORMAL, IL 61761-6279
- **Practice address phone:** (309) 888-4000
- **Practice address fax:** (309) 888-4144
- **Mailing address:** 2005 JACOBSSEN DR, SUITE A, NORMAL, IL 61761-6279
- **Mailing address phone:** (309) 888-4000
- **Mailing address fax:** (309) 888-4144

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/15/2007
- **Last updated:** 08/22/2020