Advanced Urologic Surgeons Pc

LBN: Advanced Urologic Surgeons Pc
Advanced Urologic Surgeons Pc is an health care organization with primary practice located at 604 Seville Dr , Mount Vernon IL 62864-7001. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Advanced Urologic Surgeons Pc can be contacted via phone (618) 244-4060, or through Knowles, David via phone (618) 244-4060.

Contact Information

Primary practice address
604 Seville Dr Mount Vernon IL 62864-7001
Phone: (618) 244-4060
Fax: (618) 244-4061
Website:
Map and Directions
Authorized official contact:
Name: Knowles, David Doctor of Medicine (MD)
Phone: (618) 244-4060

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036114878 Illinois

Profile Details

NPI number 1093901340
LBN Legal business name Advanced Urologic Surgeons Pc
DBA Doing business as
Authorized official Knowles, David Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2007
Last updated Apr 29th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093901340 NPPES
Illinois Other DE2609 RAILROAD

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