Organization
DOWN THERE UROLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAGAN KANSAL MD (AUTHORIZED OFFICIAL)
(312) 620-1803
Entity
Organization
Contact information
Practice address
1030 N CLARK ST STE 310, CHICAGO, IL 60610-5413
(312) 620-1803
Mailing address
20706 CARDINAL CT, FRANKFORT, IL 60423-3106
(312) 620-1803
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
12/01/2022
Last updated
12/10/2022
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