Fox Valley Urology S.c.

NPI #1821105560 in Sandwich, Illinois

Provider Information

NPI Number: 1821105560
Entity Type: Organization
Organization Name: Fox Valley Urology S.c.
Primary Specialty: Urology
Enumeration Date: Aug 25, 2006
Last Updated: Feb 4, 2009

Practice Location

Address: 1310 N MAIN
Address 2: SUITE 200
City: Sandwich
State: Illinois
ZIP Code: 60548-1394
Phone: (815) 786-9988

Authorized Official

Name: DR. AZEEM S HALEEM, MD
Title: PHYSICIAN PRESIDENT
Phone: (815) 786-9988

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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