Organization
VASECTOMY REVERSAL CENTER OF CHICAGO SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARIF AGHA MD (PHYSICIAN)
(630) 620-0320
Entity
Organization
Contact information
Practice address
1S 183 SUMMIT AVE, OAKBROOK TERRACE, IL 60181
(630) 620-0320
Mailing address
1S 183 SUMMIT AVE, OAKBROOK TERRACE, IL 60181
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036097400
IL
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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