Organization
UROPARTNERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD HARRIS MD (AUTHORIZED REPRESENTATIVE)
(708) 492-0502
Entity
Organization
Contact information
Practice address
2850 S WABASH AVE, STE 106, CHICAGO, IL 60616-2955
(312) 842-4400
Mailing address
2850 S WABASH AVE, STE 106, CHICAGO, IL 60616-2955
(312) 842-4400
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01635877
BCBS
—
01
—
DE8766
RAILROAD MEDICARE
—
Enumeration date
05/19/2006
Last updated
10/27/2015
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