Provider Demographics
NPI:1396758553
Name:UROPARTNERS LLC
Entity type:Organization
Organization Name:UROPARTNERS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:GERALD
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-450-5055
Mailing Address - Street 1:1541 RIVERBOAT CENTER DR
Mailing Address - Street 2:
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60431-9341
Mailing Address - Country:US
Mailing Address - Phone:815-741-3825
Mailing Address - Fax:815-741-3263
Practice Address - Street 1:1541 RIVERBOAT CENTER DR
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60431-9341
Practice Address - Country:US
Practice Address - Phone:815-741-3825
Practice Address - Fax:815-741-3263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-15
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Multi-Specialty