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DUPAGE UROLOGY ASSOCIATES LTD. NPI 1861405177


NPI Information

NPI: 1861405177
Provider Name: DUPAGE UROLOGY ASSOCIATES, LTD.
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1259 RICKERT DRIVE
SUITE 200
NAPERVILLE, IL
ZIP 60540
Phone: (630) 369-1572
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DUPAGE UROLOGY ASSOCIATES, LTD. is a specialist in Naperville, IL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DUPAGE UROLOGY ASSOCIATES, LTD. NPI is 1861405177. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1259 RICKERT DRIVE
SUITE 200
NAPERVILLE, IL
ZIP 60540-904
Phone: (630) 369-1572
Fax: (630) 369-6139

The provider's authorized official is John Michael Bockrath .
The authorized official title is President and has the following contact phone number (630) 369-1572.

The enumeration date for this NPI number is 8/15/2006 and was last updated on 12/12/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist036-054923ILLINOISNo
2174400000XSpecialist036-090448ILLINOISNo
3174400000XSpecialist036-099752ILLINOISNo
4174400000XSpecialist036-090506ILLINOISNo
5174400000XSpecialist036-066425ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G95637MEDICARE UPINILLINOIS
2036-054923MEDICAIDILLINOIS
3036-090448MEDICAIDILLINOIS
4036-099752MEDICAIDILLINOIS
5L78382MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
6G82174MEDICARE UPINILLINOIS
7L09484MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
8L36794MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
9L71176MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
10036-066425MEDICAIDILLINOIS
11C37477MEDICARE UPINILLINOIS
12C43153MEDICARE UPINILLINOIS
13P00886MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
14036-090506MEDICAIDILLINOIS
15G13415MEDICARE UPINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.