Urology Specialists of Lake County, S.c.

NPI #1003973827 in Gurnee, Illinois

Provider Information

NPI Number: 1003973827
Entity Type: Organization
Organization Name: Urology Specialists of Lake County, S.c.
Primary Specialty: Specialist
Enumeration Date: Jan 2, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 202 S GREENLEAF ST
Address 2: SUITE D
City: Gurnee
State: Illinois
ZIP Code: 60031-3399
Phone: (847) 599-1111

Authorized Official

Name: DR. RAZA KHAN, M.D.
Title: PHYSICIAN
Phone: (847) 599-1111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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