Organization
DUPAGE UROLOGY ASSOCIATES, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MICHAEL BOCKRATH M.D. (PRESIDENT)
(630) 369-1572
Entity
Organization
Contact information
Practice address
1259 RICKERT DRIVE, SUITE 200, NAPERVILLE, IL 60540-8904
(630) 369-1572
(630) 369-6139
Mailing address
1259 RICKERT DRIVE, SUITE 200, NAPERVILLE, IL 60540-8904
(630) 369-1572
(630) 369-6139
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036-054923
IL
174400000X
Specialist
Primary
036-066425
IL
174400000X
Specialist
036-090448
IL
174400000X
Specialist
036-090506
IL
174400000X
Specialist
036-099752
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-054923
—
IL
05
—
036-066425
—
IL
05
—
036-090448
—
IL
05
—
036-090506
—
IL
05
—
036-099752
—
IL
Enumeration date
08/15/2006
Last updated
12/12/2008
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