| NPI | 1770710360 |
|---|---|
| Doing Business As | ST MARYS UROLOGY |
| Entity Type | Organization |
| Authorized Contact | ANGIE HOUCH Manager, PFS 815-673-4603 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: IL 002659) |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2010-02-15 |