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MICHAEL J CONRAD M.D. NPI 1760557904


NPI Information

NPI: 1760557904
Provider Name: MICHAEL J CONRAD, M.D.
Classification: Urology - 208800000X
Entity Type: Individual
Address:
1221 N HIGHLAND AVE
AURORA, IL
ZIP 60506
Phone: (630) 859-8700
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Michael J Conrad, M.D. is an urology in Aurora, 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. Michael J Conrad, M.D. NPI is 1760557904. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1221 N HIGHLAND AVE
AURORA, IL
ZIP 60506-404
Phone: (630) 859-8700

The enumeration date for this NPI number is 11/22/2006 and was last updated on 7/27/2011.


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
1174400000XSpecialist35055629OHIONo
2208800000XUrology036066056ILLINOISYes

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
104515143OTHERILLINOISBCBS#
20727500001MEDICARE NSCILLINOIS
3390361005MEDICARE PINILLINOIS
4390362004MEDICARE PINILLINOIS
5036066056MEDICAIDILLINOIS

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

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