Illinois Urogynecology, Ltd.

NPI #1063421899 in Park Ridge, Illinois

Provider Information

NPI Number
1063421899
Entity Type
Organization
Organization Name
Illinois Urogynecology, Ltd.
Primary Specialty
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery
Enumeration Date
Aug 8, 2006
Last Updated
Aug 9, 2018

Practice Location

Address
1875 DEMPSTER ST
Address 2
SUITE 665
ZIP Code
60068-1186
Phone
(847) 825-1590

Authorized Official

Name
MICHAEL MOEN, MD
Title
PRES
Phone
(847) 825-1590

Specialties & Taxonomy Codes

Specialty
Obstetrics & Gynecology - GynecologyGynecology
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic SurgeryUrogynecology and Reconstructive Pelvic Surgery

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