Organization
CHICAGO PROSTATE CENTER, LLC
Active
Other names
Chicago Prostate Cancer Center
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE PACETTI (CHIEF FINANCIAL OFFICER)
(630) 942-7917
Entity
Organization
Contact information
Practice address
815 PASQUINELLI DRIVE, WESTMONT, IL 60559-5562
(630) 654-2515
(630) 654-2516
Mailing address
815 PASQUINELLI DRIVE, WESTMONT, IL 60559-5562
(630) 654-2515
(630) 654-2516
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
05/17/2006
Last updated
05/13/2019
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