Prime Urology Ltd
NPI #1649702721 in Lockport, Illinois
Provider Information
- NPI Number
- 1649702721
- Entity Type
- Organization
- Organization Name
- Prime Urology Ltd
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Mar 29, 2017
- Last Updated
- Mar 29, 2017
Practice Location
Authorized Official
- Name
- ERNERSTO TAN, M.D.
- Title
- PRESIDENT
- Phone
- (815) 741-1020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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