Organization
PHYSICIAN DIAGNOSTIC AND PATHOLOGY
Active
Parent organization
ASSOCIATED UROLOGICAL SPECIALISTS
Other names
Associated Urological Spec
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASSOCIATED UROLOGICAL SPECIALISTS
Authorized official
ROBERT S FIRLIT M.D. (PRESIDENT)
(708) 361-0840
Entity
Organization
Contact information
Practice address
7530 W COLLEGE DR, PALOS HEIGHTS, IL 60463-1196
(708) 361-8162
(708) 361-8173
Mailing address
10400 SOUTHWEST HWY, LOWER LEVEL, CHICAGO RIDGE, IL 60415-1367
(708) 590-8770
(708) 428-4277
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
Primary
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Enumeration date
04/23/2013
Last updated
05/06/2013
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