Provider Demographics
NPI:1013073394
Name:AFFILIATED UROLOGISTS, LTD
Entity Type:Organization
Organization Name:AFFILIATED UROLOGISTS, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:F
Authorized Official - Last Name:MCKIEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:312-563-3447
Mailing Address - Street 1:1725 W HARRISON ST
Mailing Address - Street 2:SUITE 762
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-3841
Mailing Address - Country:US
Mailing Address - Phone:312-563-3447
Mailing Address - Fax:312-563-3738
Practice Address - Street 1:1725 W HARRISON ST
Practice Address - Street 2:SUITE 762
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3841
Practice Address - Country:US
Practice Address - Phone:312-563-3447
Practice Address - Fax:312-563-3738
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty