Individual
PAUL MERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
430 WARRENVILLE RD STE 310, LISLE, IL 60532-1348
(630) 790-1221
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036083584
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036083584
—
IL
Enumeration date
03/08/2006
Last updated
08/16/2023
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