Midwest Urological Group, Ltd.

NPI #1891715272 in Peoria, Illinois

Provider Information

NPI Number: 1891715272
Entity Type: Organization
Organization Name: Midwest Urological Group, Ltd.
Primary Specialty: Specialist
Enumeration Date: Jul 20, 2006
Last Updated: Nov 15, 2021

Practice Location

Address: 7309 N KNOXVILLE AVE
City: Peoria
State: Illinois
ZIP Code: 61614-2085
Phone: (309) 692-9898

Authorized Official

Name: TRACY HARMS
Title: OFFICE MANAGER
Phone: (309) 683-0680

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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