Organization
UROHEALTH INSTITUTE, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENNETT P SCAGLIA M.D. (MEDICAL DIRECTOR)
(309) 888-4000
Entity
Organization
Contact information
Practice address
2005 JACOBSSEN DR, SUITE A, NORMAL, IL 61761-6279
(309) 888-4000
(309) 888-4144
Mailing address
2005 JACOBSSEN DR, SUITE A, NORMAL, IL 61761-6279
(309) 888-4000
(309) 888-4144
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/15/2007
Last updated
08/22/2020
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