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
501 W NORTH AVE STE 201, MELROSE PARK, IL 60160-1600
(708) 450-5055
(708) 338-2474
Mailing address
501 W NORTH AVE STE 201, MELROSE PARK, IL 60160-1600
(708) 450-5055
(708) 338-2474
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01671449
BLUE SHIELD
IL
01
—
DD7287
RAILROAD MEDICARE
IL
Enumeration date
05/23/2006
Last updated
05/17/2023
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