PETER W ROONEY (NPI# 1104933217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104933217 |
| Entity Type | Individual |
| Full Name | PETER W ROONEY |
| Credential | M.D. |
| Practice Address |
9701 Knox Ave Suite 103 Skokie IL 60076-1256 |
| Mailing Address |
777 Oakmont Ln Suite 1600 Westmont IL 60559-5511 |
| Practice Telephone | 8476745828 |
| Practice Fax Number | 8479336044 |
| Mailing Telephone | 6307892550 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2008-02-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | RAILROAD MEDICARE | P00123863 | 01 |
| IL | BCBS PROVIDER ID | 3160048876 | 01 |
| Street Address |
9701 KNOX AVE SUITE 103 |
| City | SKOKIE |
| State | IL |
| Zip Code | 60076-1256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487640660 | Wolf D Peddinghaus | Internal Medicine | 9701 Knox Ave, Suite 102, Skokie, IL 60076-1256 | 2005-09-23 |
| 1013155167 | Northshore University Healthsystem Faculty Practice Associates | Anesthesiology | 9701 Knox Ave, Suite 103, Skokie, IL 60076-1256 | 2009-01-28 |
| 1992923304 | Rush North Shore Pain Center | Psychologist | 9701 Knox Ave, Suite 103, Skokie, IL 60076-1256 | 2007-04-23 |
| 1932225836 | Lake Shore Gastroenterology | Internal Medicine | 9701 Knox Ave, Suite 103, Skokie, IL 60076-1256 | 2007-03-22 |
| 1316085897 | Kelly Brungardt Stein | Internal Medicine | 9701 Knox Ave, Ste 102, Skokie, IL 60076-1256 | 2007-02-05 |
| 1194802298 | Peter Rooney Ltd | Urology | 9701 Knox Ave, Suite 103, Skokie, IL 60076-1256 | 2006-11-01 |
| 1194808667 | Arthritis & Internal Medicine Specialist | Preferred Provider Organization | 9701 Knox Ave, Ste 102, Skokie, IL 60076-1256 | 2006-10-20 |
| 1598712416 | Martin A Glochowsky | Internal Medicine | 9701 Knox Ave, 102, Skokie, IL 60076-1256 | 2006-05-27 |
| 1326006537 | Sylvia A Pawlik | Registered Nurse | 9701 Knox Ave, Suite 214, Skokie, IL 60076-1256 | 2006-05-04 |
| 1003806548 | Jerry M. Zabin | Social Worker | 9701 Knox Ave, 214, Skokie, IL 60076-1256 | 2005-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902456999 | Gateway Foundation, Inc | Clinic/Center | 4028 W. Dempster, Ste 100, Skokie, IL 60076 | 2019-09-12 |
| 1336798255 | Renee Rosenberg | Speech-Language Pathologist | C/o East Prairie School, 7616 N. East Prairie Road, Skoke, IL 60076 | 2019-09-04 |
| 1710531223 | Dw Care Solutions | Hospice Care, Community Based | 4556 Oakton St, Suite 205, Skokie, IL 60076 | 2019-08-01 |
| 1689228157 | Elaine Ng | Pharmacist | 9650 Gross Point Rd Suite 4900, Skokie, IL 60076 | 2019-08-01 |
| 1881169381 | Kathleen Pyles | Registered Nurse | 9650 Gross Point Rd # 4900, Skokie, IL 60076 | 2018-10-10 |
| 1174013452 | Vitae Health of Illinois LLC | Social Worker | 3450 Oakton St, Skokie, IL 60076 | 2018-05-13 |
| 1396253530 | Jodi Novick Okner | Social Worker | 9134 Kilbourn Avenue, Skokie, IL 60076 | 2018-01-22 |
| 1700335924 | Olumide Adeyemo | Nurse Practitioner | 4711 Golf Rd Suite 1250, Skokie, IL 60076 | 2016-09-28 |
| 1255705315 | Malka Rokach | Pharmacist | 3358 W Touhy, Skokie, IL 60076 | 2015-11-30 |
| 1578932620 | Katrina Margaret Keithley | Physician Assistant | 9669 Kenton Ave Ste 203, Skokie, IL 60076 | 2015-09-18 |
| Find all providers in zip 60076 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578766994 | Neil R Friedman Md Ltd | Urology | 4711 W Golf Road, Suite 910, Skokie, IL 60076-1247 | 2007-06-06 |
| 1972589232 | Advanced Urology, Ltd. | Urology | 4959 Golf Rd, Skokie, IL 60077-1537 | 2005-12-19 |
| 1083835052 | Michael Mcguire, Md, LLC | Urology | 9711 Skokie Blvd, Suite H, Skokie, IL 60077-1384 | 2007-05-01 |
| 1497873863 | Sam Lipshitz | Urology | 7520 Skokie Blvd, Skokie, IL 60077-3342 | 2007-03-26 |
| 1164589776 | John Milner | Urology | 9669 Kenton Ave, Ste. 608, Skokie, IL 60076-1266 | 2007-01-02 |
| 1891851598 | Uro Center Ltd | Urology | 9669 Kenton Ave, Suite 306, Skokie, IL 60076 | 2006-12-28 |
| 1194802298 | Peter Rooney Ltd | Urology | 9701 Knox Ave, Suite 103, Skokie, IL 60076-1256 | 2006-11-01 |
| 1568482214 | Israel Berger | Urology | 9669 Kenton Ave, Suite 306, Skokie, IL 60076-1266 | 2006-07-19 |
| 1427019611 | Steven E. Mutchnik | Urology | 9669 Kenton Ave, Suite 608, Skokie, IL 60076-1266 | 2006-03-29 |
| 1417917006 | David L. Mutchnik | Urology | 9669 Kenton Ave, Suite 608, Skokie, IL 60076-1266 | 2006-03-27 |
| Find all providers in SKOKIE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.