| NPI | 1912959040 |
|---|---|
| Doing Business As | CHICAGO PROSTATE CANCER CENTER |
| Entity Type | Organization |
| Authorized Contact | MIKE PACETTI Chief Financial Officer 630-942-7917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2019-05-13 |