Organization
UROPARTNERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK T BRANDT MD (SUPERVISING PHYSICIAN)
(847) 470-1500
Entity
Organization
Contact information
Practice address
800 AUSTIN ST, EAST TOWER, STE. 363, EVANSTON, IL 60202-3439
(847) 491-1755
(847) 491-9675
Mailing address
7900 N MILWAUKEE AVE, STE 17, NILES, IL 60714-3159
(847) 470-1500
(847) 470-1550
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01619727
BLUE SHIELD
IL
Enumeration date
01/17/2007
Last updated
04/20/2008
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