Organization
UROPARTNERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE MORAN MD (PRESIDENT)
(708) 492-0502
Entity
Organization
Contact information
Practice address
6440 GRAND AVE, SUITE 206, GURNEE, IL 60031-5257
(847) 782-8349
(847) 782-8546
Mailing address
3183 PAYSPHERE CIR, CHICAGO, IL 60674-0031
(708) 492-0502
(708) 492-0565
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912923269
TYPE 1 NPI
IL
Enumeration date
02/03/2008
Last updated
04/20/2008
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