Organization
UROPARTNERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD HARRIS MD (AUTHORIZED REPRESENTATIVE)
(708) 450-5055
Entity
Organization
Contact information
Practice address
350 S NORTHWEST HWY STE 106, PARK RIDGE, IL 60068-4262
(847) 470-1500
(847) 470-1550
Mailing address
350 S NORTHWEST HWY STE 106, PARK RIDGE, IL 60068-4262
(847) 470-1500
(847) 470-1550
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01635877
BCBS
—
01
—
DE0395
RAILROAD MEDICARE
IL
Enumeration date
05/23/2006
Last updated
09/20/2021
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