Organization
UNITED SHOCKWAVE SERVICES, LTD.
Active
Parent organization
UNITED SHOCKWAVE SERVICES, LTD
Other names
UNITED THERAPIES
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNITED SHOCKWAVE SERVICES, LTD
Authorized official
MR. JEFFREY NORRIS MD (PRESIDENT)
(847) 544-5853
Entity
Organization
Contact information
Practice address
120 N LA GRANGE RD, LA GRANGE, IL 60525-2040
(708) 352-6666
Mailing address
PO BOX 95439, GRAPEVINE, TX 76099-9735
(877) 465-4845
(847) 297-8853
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
7003190
IL
261QL0400X
Lithotripsy Clinic/Center
7003190
IL
Other
Enumeration date
04/30/2015
Last updated
09/23/2021
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