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Organization

NORTHWEST UROLOGICAL ASSOCIATES, S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID A NELLESSEN M.D. (VICE-PRESIDENT)
(847) 439-4343
Entity
Organization

Contact information

Practice address
2101 S ARLINGTON HEIGHTS RD, #108, ARLINGTON HEIGHTS, IL 60005-4185
(847) 439-4343
(847) 439-4510
Mailing address
2101 S ARLINGTON HEIGHTS RD, #108, ARLINGTON HEIGHTS, IL 60005-4185
(847) 439-4343
(847) 439-4510

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
IL

Other

Enumeration date
10/10/2006
Last updated
08/22/2020
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