Provider Type Icon

ASSOCIATED UROLOGICAL SPECIALISTS NPI 1326189895


NPI Information

NPI: 1326189895
Provider Name: ASSOCIATED UROLOGICAL SPECIALISTS

Other Name: SPECIALIZED UROLOGICAL CONSULTANTS

Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 14D0419839

Address:
4440 W 95TH ST STE 109-112
OAK LAWN, IL
ZIP 60453
Phone: (708) 423-8706
Get Directions

ASSOCIATED UROLOGICAL SPECIALISTS is an urology in Oak Lawn, IL. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. ASSOCIATED UROLOGICAL SPECIALISTS NPI is 1326189895. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Specialized Urological Consultants.

The provider's business location address is:

4440 W 95TH ST STE 109-112
OAK LAWN, IL
ZIP 60453-600
Phone: (708) 423-8706

The provider's authorized official is Kermitt Dan Hoyme .
The authorized official title is Physician and has the following contact phone number (708) 423-8706.

The CLIA number assigned to this NPI record is 14D0419839 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/9/2007 and was last updated on 8/3/2007.


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
12088P0231XUrologyPediatric UrologyNo
2208800000XUrologyYes

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
1C42567MEDICARE UPIN
2211475MEDICARE PIN
3K00586MEDICARE UPIN
4G54736MEDICARE UPIN
5G45114MEDICARE UPIN
6C44170MEDICARE UPIN

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.