ADVANCED UROLOGY ASSOCIATES SC NPI 1396758553

NPI Information

ADVANCED UROLOGY ASSOCIATES SC is a specialist in Joliet, IL. The provider is 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. ADVANCED UROLOGY ASSOCIATES SC NPI is 1396758553. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1541 RIVERBOAT CENTER DR
JOLIET, IL
ZIP 60431-341
Phone: (815) 741-3825
Fax: (815) 741-3263

The provider's authorized official is Gregory Lewis .
The authorized official title is President and has the following contact phone number (815) 741-3825.

The CLIA number assigned to this NPI record is 14D0419129 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 8/15/2006 and was last updated on 7/5/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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