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ASSOCIATED UROLOGICAL SPECIALISTS LLC NPI 1528109006


NPI Information

NPI: 1528109006
Provider Name: ASSOCIATED UROLOGICAL SPECIALISTS LLC

Other Name: SPECIALIZED UROLOGICAL CONSULTANTS-ORLAND PARK

Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 14D0883219

Address:
16632 107TH ST
ORLAND PARK, IL
ZIP 60467
Phone: (708) 349-6350
Get Directions

ASSOCIATED UROLOGICAL SPECIALISTS LLC is an urology in Orland Park, 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 LLC NPI is 1528109006. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Specialized Urological Consultants-orland Park.

The provider's business location address is:

16632 107TH ST
ORLAND PARK, IL
ZIP 60467-898
Phone: (708) 349-6350
Fax: (708) 349-9153

The provider's authorized official is Eliza Roque .
The authorized official title is Director and has the following contact phone number (708) 608-2195.

The CLIA number assigned to this NPI record is 14D0883219 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/9/2007 and was last updated on 3/18/2020.


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
12088P0231XUrologyPediatric UrologyNo
2208800000XUrologyYes

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: 5/5/2024

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