Provider Demographics
NPI:1821042755
Name:UROPARTNERS, LLC
Entity Type:Organization
Organization Name:UROPARTNERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED REPRESENTATIVE
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:708-450-5055
Mailing Address - Street 1:950 N YORK RD
Mailing Address - Street 2:STE 208
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-8609
Mailing Address - Country:US
Mailing Address - Phone:630-887-0580
Mailing Address - Fax:630-887-0618
Practice Address - Street 1:950 N YORK RD
Practice Address - Street 2:STE 208
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-8609
Practice Address - Country:US
Practice Address - Phone:630-887-0580
Practice Address - Fax:630-887-0618
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-22
Last Update Date:2015-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Multi-Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILDD7283OtherRAILROAD MEDICARE
01635877OtherBCBS
01635877OtherBCBS
IL212211Medicare PIN