Greater Chicago Urology

NPI #1750570743 in Evanston, Illinois

Provider Information

NPI Number: 1750570743
Entity Type: Organization
Organization Name: Greater Chicago Urology
Primary Specialty: Urology
Enumeration Date: Oct 16, 2007
Last Updated: Apr 4, 2008

Practice Location

Address: 800 AUSTIN ST
Address 2: SUITE 569 E
City: Evanston
State: Illinois
ZIP Code: 60202-3439
Phone: (847) 328-8884

Authorized Official

Name: MRS. VALENTINA ALHAMBRA CONSTANTINO
Title: PRACTICE MANAGER
Phone: (847) 328-8884

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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