Organization
ILLINOIS UROLOGICAL INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARTHA J TITINER MPH (PRACTICE MANAGER)
(630) 690-6400
Entity
Organization
Contact information
Practice address
311 SOUTH COUNTY FARM ROAD, SUITE B, WHEATON, IL 60187
(630) 690-6400
(630) 690-6482
Mailing address
311 SOUTH COUNTY FARM ROAD, SUITE B, WHEATON, IL 60187
(630) 690-6400
(630) 690-6482
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2201791
BLUECROSS BLUESHIELD
IL
Enumeration date
07/11/2006
Last updated
07/15/2016
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