Union Associated Physicians Clinic, LLC

Organization Active NPI Urology Physician · Marshall, IL

NPI 1194045849 · NPPES record last updated Aug 12, 2010

Key facts

NPI
1194045849
Entity type
Organization (NPI type 2)
Primary specialty
Urology Physician 208800000X
Legal business name
UNION ASSOCIATED PHYSICIANS CLINIC, LLC
Practice address
410 N 2ND St
Marshall, IL 62441-1010
Phone
(217) 826-2361
NPI assigned
Jun 4, 2010
Organization subpart
No

Authorized official

Name
Michael P Fouty, CFO
Title
Authorized Representative
Phone
(812) 242-3274

Corporate family (same tax ID) 18

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Union Associated Physicians (19 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208800000X Yes

Addresses

Primary practice location

410 N 2ND St
Marshall, IL 62441-1010

Mailing address

221 S 6TH St
Terre Haute, IN 47807-4214
Phone (812) 242-3274

Other identifiers

IdentifierTypeStateIssuer
DQ0893OtherINRAILROAD MEDICARE

Other providers in Marshall, IL

All providers in Marshall, IL · Urology Physician in Illinois

Sources for this page

Verify at the official NPI Registry.