Affiliated Urology Specialists, Ltd.

NPI #1982659991 in Peoria, Illinois

Provider Information

NPI Number: 1982659991
Entity Type: Organization
Organization Name: Affiliated Urology Specialists, Ltd.
Primary Specialty: Urology
Enumeration Date: May 24, 2006
Last Updated: Nov 12, 2007

Practice Location

Address: 200 E PENNSYLVANIA AVE
Address 2: SUITE 201
City: Peoria
State: Illinois
ZIP Code: 61603-3089
Phone: (309) 655-7700

Authorized Official

Name: MS. CYNTHIA ANNE HASTY
Title: PRACTICE ADMINISTRATOR
Phone: (309) 655-7704

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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