ASSOCIATED UROLOGICAL SPECIALISTS LLC NPI 1710126032

NPI Information

  • NPI: 1710126032
  • Provider Name: ASSOCIATED UROLOGICAL SPECIALISTS LLC
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • Address: 10400 SOUTHWEST HWY
    CHICAGO RIDGE, IL
    ZIP 60415
  • Phone: (708) 581-7308

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NPI Details

ASSOCIATED UROLOGICAL SPECIALISTS LLC is an urology in Chicago Ridge, 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 1710126032. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10400 SOUTHWEST HWY
CHICAGO RIDGE, IL
ZIP 60415-367
Phone: (708) 581-7308
Fax: (708) 274-4027

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 enumeration date for this NPI number is 2/10/2009 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
1208800000XUrology036-102534ILLINOISNo
22088P0231XUrologyPediatric Urology036-062338ILLINOISNo
3208800000XUrology036-094573ILLINOISNo
4208800000XUrology036-257763ILLINOISNo
5208800000XUrology036-096031ILLINOISNo
62085R0001XRadiologyRadiation Oncology036-076990ILLINOISNo
7208800000XUrology036-120732ILLINOISYes

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
102232706OTHERILLINOISBCBS

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: 11/21/2025

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