Organization
SUBURBAN UROLOGY ASSOCIATES,LTD
Active
Parent organization
SUBURBAN UROLOGY ASSOCIATES,LTD
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUBURBAN UROLOGY ASSOCIATES,LTD
Authorized official
DR. PETER MISUREC M,D. (PRESIDENT)
(708) 484-6019
Entity
Organization
Contact information
Practice address
3340 OAK PARK AVE, SUITE 305, BERWYN, IL 60402-3420
(708) 484-6019
(708) 484-0251
Mailing address
3340 OAK PARK AVE, SUITE 305, BERWYN, IL 60402-3420
(708) 484-6019
(708) 484-0251
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
36061571
IL
Other
Enumeration date
12/18/2007
Last updated
12/14/2010
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