Organization
VASECTOMY REVERSAL CENTER OF CHICAGO S C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARIF AGHA MD (PHYSICIAN)
(800) 928-2763
Entity
Organization
Contact information
Practice address
600 ENTERPRISE DR, SUITE 218, OAK BROOK, IL 60523-1922
(800) 928-2763
(630) 990-4245
Mailing address
600 ENTERPRISE DR, SUITE 218, OAK BROOK, IL 60523-1922
(800) 928-2763
(630) 990-4245
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036097400
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036097400
LICENSE
IL
Enumeration date
01/22/2014
Last updated
01/22/2014
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