21st Century Urology, S.c.

NPI #1225043896 in Orland Park, Illinois

Provider Information

NPI Number: 1225043896
Entity Type: Organization
Organization Name: 21st Century Urology, S.c.
Primary Specialty: Specialist
Enumeration Date: Jul 30, 2006
Last Updated: May 1, 2008

Practice Location

Address: 14315 108TH AVE
Address 2: SUITE 230
City: Orland Park
State: Illinois
ZIP Code: 60467-5700
Phone: (708) 364-7000

Authorized Official

Name: DR. ROBERT A. BONZANI, MD
Title: PRESIDENT
Phone: (708) 364-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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