| Wupi - Department Of Urological Surgery | |
|
1418 Cross St Ste 180 Shiloh IL 62269-2965 | |
| (314) 362-8200 | |
| Not Available |
| Full Name | Wupi - Department Of Urological Surgery |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1418 Cross St Ste 180, Shiloh, Illinois |
| Authorized Official Name and Position | Cathy Eghigian (SR. DIRECTOR, WU MANAGED CARE) |
| Authorized Official Contact | 3142730770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wupi - Department Of Urological Surgery 660 S Euclid Ave Saint Louis MO 63110-1010 Ph: (314) 747-2611 | Wupi - Department Of Urological Surgery 1418 Cross St Ste 180 Shiloh IL 62269-2965 Ph: (314) 362-8200 |
| NPI Number | 1356822993 |
|---|---|
| Provider Enumeration Date | 08/22/2018 |
| Last Update Date | 08/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356822993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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