Organization
ASSOCIATED UROLOGICAL SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE HRIBAR MHA (ADMINISTRATOR)
(708) 581-7308
Entity
Organization
Contact information
Practice address
1020 E OGDEN AVE, SUITE 302, NAPERVILLE, IL 60563-8609
(708) 349-1630
(708) 349-9153
Mailing address
10400 SOUTHWEST HIGHWAY, LOWER LEVEL, CHICAGO RIDGE, IL 60415
(708) 581-7308
(708) 274-4027
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
036-096031
IL
2088P0231X
Pediatric Urology Physician
Primary
036-062338
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02232706
BCBS
IL
Enumeration date
02/19/2009
Last updated
06/09/2009
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