Organization
ASSOCIATED UROLOGICAL SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZA ROQUE (DIRECTOR)
(708) 608-2195
Entity
Organization
Contact information
Practice address
15300 WEST AVE, WEST BUILDING SUITE 314, ORLAND PARK, IL 60462-4600
(708) 364-7882
(708) 364-7886
Mailing address
16522 106TH CT, ORLAND PARK, IL 60467-4547
(708) 590-8770
(708) 274-4027
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
02/14/2007
Last updated
03/18/2020
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