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
9669 N KENTON AVE, STE 608, SKOKIE, IL 60076-1248
(847) 677-4111
(847) 677-3343
Mailing address
9669 N KENTON AVE, STE 608, SKOKIE, IL 60076-1248
(847) 677-4111
(847) 677-3343
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01635877
BCBS
—
01
—
DE8400
RAILROAD MEDICARE
IL
Enumeration date
05/23/2006
Last updated
11/12/2019
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