Provider Type Icon

UROLOGIC SURGERY ASSOCIATES S.C. NPI 1831215391


NPI Information

NPI: 1831215391
Provider Name: UROLOGIC SURGERY ASSOCIATES, S.C.
Classification: Urology - 208800000X
Entity Type: Organization
Address:
1414 WOODBINE RD
BLOOMINGTON, IL
ZIP 61704
Phone: (309) 661-9999
Get Directions

UROLOGIC SURGERY ASSOCIATES, S.C. is an urology in Bloomington, 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. UROLOGIC SURGERY ASSOCIATES, S.C. NPI is 1831215391. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1414 WOODBINE RD
BLOOMINGTON, IL
ZIP 61704-817
Phone: (309) 661-9999
Fax: (309) 662-0748

The provider's authorized official is Anne Thomas .
The authorized official title is Office Manager and has the following contact phone number (309) 661-9999.

The enumeration date for this NPI number is 3/22/2007 and was last updated on 5/16/2012.


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
1208800000XUrology042007836ILLINOISYes

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
15007705OTHERILLINOISBLUE CROSS BLUE SHIELD
2=========-61701-01MEDICAIDILLINOIS

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: 11/14/2023

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.