Organization · Type 2 NPI

Omnidoc Health Inc

Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician · Park City, IL

NPI number 1477167112 Active

Practice location

351 Greenleaf St Ste E
Park City, IL 60085-5701

Other practice locations

  • 101 Convention Center Dr, Las Vegas, NV 89109-2001 · (847) 234-7111

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040XNone listed
Gynecology Physician 207VG0400XNone listed
Urology Physician 208800000XNone listed
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician Primary 2088F0040XNone listed

Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician: A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures nec…

About NPI 1477167112

Omnidoc Health Inc's National Provider Identifier is 1477167112, issued on Sep 1, 2020. The primary taxonomy on file is Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician (2088F0040X), and the practice location is in Park City, IL. The record was last updated on Dec 18, 2021.