Organization
ASSOCIATED UROLOGICAL SPECIALISTS
Active
Other names
Specialized Urological Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
KERMITT DAN HOYME MD, FACS (PHYSICIAN)
(708) 423-8706
Entity
Organization
Contact information
Practice address
4440 W 95TH ST STE 109-112, OAK LAWN, IL 60453-2600
(708) 423-8706
Mailing address
4440 W 95TH ST STE 109-112, OAK LAWN, IL 60453-2600
(708) 423-8706
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
2088P0231X
Pediatric Urology Physician
—
—
Other
Enumeration date
02/09/2007
Last updated
08/03/2007
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