Organization
AFFILIATED UROLOGY SPECIALISTS, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CYNTHIA ANNE HASTY (PRACTICE ADMINISTRATOR)
(309) 655-7704
Entity
Organization
Contact information
Practice address
200 E PENNSYLVANIA AVE, SUITE 201, PEORIA, IL 61603-3089
(309) 655-7700
(309) 655-7720
Mailing address
200 E PENNSYLVANIA AVE, SUITE 201, PEORIA, IL 61603-3089
(309) 655-7700
(309) 655-7720
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
IL
Other
Enumeration date
05/24/2006
Last updated
11/12/2007
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