Fox Valley Urology S.c.

NPI 1821105560 - Urology - 208800000X

NPI Details
NPI 1821105560
Enumeration Date 08/25/2006
Last Updated 02/04/2009
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name AZEEM S AZEEM
Position PHYSICIAN PRESIDENT
Phone (815) 786-9988
Fax (815) 786-9986
Practice Location
1310 N MAIN
SUITE 200
SANDWICH IL, 60548-1394, US
Phone (815) 786-9988
Fax (815) 786-9986
Business Location
1310 N MAIN ST
SUITE 200
SANDWICH IL, 60548-1394, US
Phone (815) 786-9988
Fax (815) 786-9986
Toxanomy
Taxonomy Code 208800000X
License State Illinois
License Number 036084000
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According to our database, Fox Valley Urology S.c. NPI is 1821105560, taxonomy code is 208800000X and license number is 036084000, license state is located at Illinois. Fox Valley Urology S.c. physically located at 1310 N Main, Sandwich IL, 60548-1394. NPI Number 1033115704 has the healthcare provider type.

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1821105560 NPI number is provided on an as is basis without warranty of any kind. 1821105560 is maintained by the National Plan & Provider Enumeration System. The contents of Fox Valley Urology S.c. are for informational purposes only.