Organization
ASSOCIATED UROLOGICAL SPECIALISTS LLC
Active
Other names
Specialized Urological Consultants-Orland Park
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZA ROQUE (DIRECTOR)
(708) 608-2195
Entity
Organization
Contact information
Practice address
16632 107TH ST, ORLAND PARK, IL 60467-8898
(708) 349-6350
(708) 349-9153
Mailing address
10400 SOUTHWEST HWY, LOWER LEVEL, CHICAGO RIDGE, IL 60415-1367
(708) 581-7308
(708) 274-4027
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
2088P0231X
Pediatric Urology Physician
—
—
Other
Enumeration date
02/09/2007
Last updated
03/18/2020
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