ILLINOIS UROLOGICAL INSTITUTE NPI 1336173509

NPI Information

  • NPI: 1336173509
  • Provider Name: ILLINOIS UROLOGICAL INSTITUTE
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 311 SOUTH COUNTY FARM ROAD
    SUITE B
    WHEATON, IL
    ZIP 60187
  • Phone: (630) 690-6400

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NPI Details

ILLINOIS UROLOGICAL INSTITUTE is a specialist in Wheaton, 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. ILLINOIS UROLOGICAL INSTITUTE NPI is 1336173509. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

311 SOUTH COUNTY FARM ROAD
SUITE B
WHEATON, IL
ZIP 60187
Phone: (630) 690-6400
Fax: (630) 690-6482

The provider's authorized official is Martha J Titiner .
The authorized official title is Practice Manager and has the following contact phone number (630) 690-6400.

The enumeration date for this NPI number is 7/11/2006 and was last updated on 7/15/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistILLINOISYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1360870MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
22201791OTHERILLINOISBLUECROSS BLUESHIELD

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: 3/30/2025

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