Organization · Type 2 NPI

Suburban Urology Associates,ltd

Specialist · Berwyn, IL

NPI number 1366626996 Active

Practice location

3340 Oak Park Ave, Suite 305
Berwyn, IL 60402-3420

Call (708) 484-6019 Map

Fax (708) 484-0251

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X36061571 (IL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1366626996

Suburban Urology Associates,ltd's National Provider Identifier is 1366626996, issued on Dec 18, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Berwyn, IL. The record was last updated on Dec 14, 2010.