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
610 E ROOSEVELT RD, STE 203, WHEATON, IL 60187-5581
(630) 653-5550
(630) 653-5561
Mailing address
610 E ROOSEVELT RD, STE 203, WHEATON, IL 60187-5581
(630) 653-5550
(630) 653-5561
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01635877
BCBS
—
01
—
DD9984
RAILROAD MEDICARE
—
Enumeration date
05/23/2006
Last updated
10/27/2015
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