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Organization

GREATER CHICAGO UROLOGY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. VALENTINA ALHAMBRA CONSTANTINO (PRACTICE MANAGER)
(847) 328-8884
Entity
Organization

Contact information

Practice address
800 AUSTIN ST, SUITE 569 E, EVANSTON, IL 60202-3439
(847) 328-8884
(847) 328-9129
Mailing address
800 AUSTIN ST, SUITE 569 E, EVANSTON, IL 60202-3439
(847) 328-8884
(847) 328-9129

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
IL

Other

Enumeration date
10/16/2007
Last updated
04/04/2008
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