Provider Demographics
NPI:1578364683
Name:EXPERT UROLOGY CONSULTING PLLC
Entity type:Organization
Organization Name:EXPERT UROLOGY CONSULTING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER & PRINCIPAL
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:AARON
Authorized Official - Last Name:WILLE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:864-209-1304
Mailing Address - Street 1:5931 N HERMITAGE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60660-3103
Mailing Address - Country:US
Mailing Address - Phone:864-209-1304
Mailing Address - Fax:864-428-6059
Practice Address - Street 1:5931 N HERMITAGE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60660-3103
Practice Address - Country:US
Practice Address - Phone:864-209-1304
Practice Address - Fax:864-428-6059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Multi-Specialty