Individual
MR. JERROLD HOWARD SECKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
880 W. CENTRAL ROAD, SUITE 5200, ARLINGTON HEIGHTS, IL 60005
(847) 259-2410
(847) 259-8603
Mailing address
880 W. CENTRAL ROAD, SUITE 5200, ARLINGTON HEIGHTS, IL 60005
(847) 259-2410
(847) 259-8603
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036047545
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1615843
BCBS
IL
05
—
C42156
—
IL
Enumeration date
02/01/2006
Last updated
08/26/2010
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