Organization
LOME UROLOGY LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEON G LOME MD (PRESIDENT/OWNER)
(847) 433-5015
Entity
Organization
Contact information
Practice address
800 AUSTIN ST, SUITE 569E, EVANSTON, IL 60202-3439
(847) 328-8884
(847) 328-9129
Mailing address
307 N DEERE PARK DR E, HIGHLAND PARK, IL 60035-5349
(847) 433-5015
(847) 433-9155
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036039465
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036039465
—
IL
Enumeration date
08/03/2010
Last updated
08/03/2010
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