Chicago Prostate Center, LLC

NPI #1912959040 in Westmont, Illinois

Provider Information

NPI Number: 1912959040
Entity Type: Organization
Organization Name: Chicago Prostate Center, LLC
Primary Specialty: Urology
Enumeration Date: May 17, 2006
Last Updated: May 13, 2019

Practice Location

Address: 815 PASQUINELLI DRIVE
City: Westmont
State: Illinois
ZIP Code: 60559-5562
Phone: (630) 654-2515

Authorized Official

Name: MIKE PACETTI
Title: CHIEF FINANCIAL OFFICER
Phone: (630) 942-7917

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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