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AFFILIATED UROLOGY SPECIALISTS LTD. NPI 1982659991


NPI Information

NPI: 1982659991
Provider Name: AFFILIATED UROLOGY SPECIALISTS, LTD.
Classification: Urology - 208800000X
Entity Type: Organization
Address:
200 E PENNSYLVANIA AVE
SUITE 201
PEORIA, IL
ZIP 61603
Phone: (309) 655-7700
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AFFILIATED UROLOGY SPECIALISTS, LTD. is an urology in Peoria, IL. The provider is 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. AFFILIATED UROLOGY SPECIALISTS, LTD. NPI is 1982659991. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

200 E PENNSYLVANIA AVE
SUITE 201
PEORIA, IL
ZIP 61603-089
Phone: (309) 655-7700
Fax: (309) 655-7720

The provider's authorized official is Cynthia Anne Hasty .
The authorized official title is Practice Administrator and has the following contact phone number (309) 655-7704.

The enumeration date for this NPI number is 5/24/2006 and was last updated on 11/12/2007.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrologyILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1I10427MEDICARE UPINILLINOIS
2979013MEDICARE PINILLINOIS
3E18419MEDICARE UPINILLINOIS
4CM0096MEDICARE PIN
5C39989MEDICARE UPINILLINOIS
6R78360MEDICARE UPINILLINOIS
7979010MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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