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Organization

WEST SUBURBAN UROLOGY, S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JAMIE M. BELCHER (MEDICAL BILLER)
(630) 960-1498
Entity
Organization

Contact information

Practice address
3825 HIGHLAND, # 207, DOWNERS GROVE, IL 60515
(630) 960-1498
(630) 960-9303
Mailing address
3825 HIGHLAND, # 207, DOWNERS GROVE, IL 60515
(630) 960-1498
(630) 960-9303

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036042928
IL
Enumeration date
12/15/2006
Last updated
07/23/2013
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