Organization · Type 2 NPI

Chicago Prostate Center, LLC

Urology Physician · Westmont, IL

NPI number 1912959040 Active

Practice location

815 Pasquinelli Drive
Westmont, IL 60559-5562

Fax (630) 654-2516

Specialties and licenses

Taxonomy	Code	License
Urology Physician Primary	208800000X	None listed

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

NPI record

NPI: 1912959040
Entity type: Organization (Type 2)
Issued: May 17, 2006
Last updated: May 13, 2019
Status: Active

Other names

<unavail>
Chicago Prostate Cancer Center · doing business as
Chicago Prostate Cancer Center · doing business as

Authorized official

Mike Pacetti
Chief Financial Officer
(630) 942-7917

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1912959040

Chicago Prostate Center, LLC's National Provider Identifier is 1912959040, issued on May 17, 2006. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Westmont, IL. The record was last updated on May 13, 2019.