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
5215 N CALIFORNIA AVE, STE. F803, CHICAGO, IL 60625-7014
(773) 878-7555
(773) 878-8545
Mailing address
5215 N CALIFORNIA AVE, STE. F803, CHICAGO, IL 60625-7014
(773) 878-7555
(773) 878-8545
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01635877
BCBS
—
01
—
DD7289
RAILROAD MEDICARE
IL
Enumeration date
05/22/2006
Last updated
10/27/2015
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