Midwest Urological Group, Ltd.

NPI #1356307755 in Peoria, Illinois

Provider Information

NPI Number: 1356307755
Entity Type: Organization
Organization Name: Midwest Urological Group, Ltd.
Primary Specialty: Specialist
Enumeration Date: Apr 25, 2006
Last Updated: Jul 21, 2022

Practice Location

Address: 214 NE GLEN OAK AVE
City: Peoria
State: Illinois
ZIP Code: 61603-4309
Phone: (309) 673-7349

Authorized Official

Name: MS. DEBBIE VELTMAN
Title: OFFICE MANAGER
Phone: (309) 673-7349

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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