Organization Name: | DUPAGE UROLOGY ASSOCIATES, LTD. |
NPI Number: | 1861405177 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN MICHAEL BOCKRATH (PRESIDENT) |
Mailing Address: | 1259 Rickert Drive Suite 200 Naperville |
State: | IL US |
Postal Code: | 605408904 |
Phone Number: | 6303691572 |
Fax Number: | 6303696139 |
NPI Enumeration Date: | 08/15/2006 |
NPI Last Update Date: | 12/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 036-054923 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |