Organization
FOX VALLEY UROLOGY S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AZEEM S HALEEM MD (PHYSICIAN PRESIDENT)
(815) 786-9988
Entity
Organization
Contact information
Practice address
1310 N MAIN, SUITE 200, SANDWICH, IL 60548-1394
(815) 786-9988
(815) 786-9986
Mailing address
1310 N MAIN ST, SUITE 200, SANDWICH, IL 60548-1394
(815) 786-9988
(815) 786-9986
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036084000
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036084000
—
IL
Enumeration date
08/25/2006
Last updated
02/04/2009
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