ASSOCIATED UROLOGICAL SPECIALISTS LLC (NPI# 1477747939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477747939 |
| Entity Type | Organization |
| Organization Name | ASSOCIATED UROLOGICAL SPECIALISTS LLC |
| Practice Address |
6701 159th St Tinley Park IL 60477-1758 |
| Mailing Address |
16255 S. 106 Court Orland Park IL 60467 |
| Practice Telephone | 7089157800 |
| Mailing Telephone | 7085908770 |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2020-03-18 |
| Authorized Official Name | ELIZA ROQUE (DIRECTOR) |
| Authorized Official Telephone | 7086082195 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 2088P0231X |
Urology Specialization: Pediatric Urology |
Allopathic & Osteopathic Physicians | ||
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831231562 | Associated Urological Specialists LLC | Urology | 7340 W College Dr, Palos Heights, IL 60463-1159 | 2007-02-12 |
| 1528109006 | Associated Urological Specialists LLC | Urology | 16632 107th St, Orland Park, IL 60467-8898 | 2007-02-09 |
| 1710126032 | Associated Urological Specialists LLC | Urology | 10400 Southwest Hwy, Chicago Ridge, IL 60415-1367 | 2009-02-10 |
| 1871635789 | Associated Urological Specialists LLC | Urology | 15300 West Ave, West Building Suite 314, Orland Park, IL 60462-4600 | 2007-02-14 |
| 1821139940 | Associated Urological Specialists LLC | Urology | 16522 S. 106 Court, Orland Park, IL 60467 | 2007-02-09 |
| 1497896971 | Associated Urological Specialists LLC | Urology | 15234 S Harlem Ave, Orland Park, IL 60462-4330 | 2007-02-09 |
| 1306987896 | Associated Urological Specialists LLC | Urology | 2850 W 95th St, Evergreen Park, IL 60805-2735 | 2007-02-09 |
| Street Address |
6701 159TH ST |
| City | TINLEY PARK |
| State | IL |
| Zip Code | 60477-1758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124027651 | Frank J. Kniffen | Anesthesiology | 6701 159th St, Ingalls Same Day Surgery, Tinley Park, IL 60477-1758 | 2005-07-18 |
| 1659878635 | Lena Modieh | Nurse Practitioner | 6701 159th St, Tinley Park, IL 60477 | 2018-04-06 |
| 1740664630 | Annette Krapil | Pharmacist | 6701 159th St, Tinley Park, IL 60477-1758 | 2015-07-10 |
| 1063844934 | Primary Healthcare Associates, Sc | Non-Pharmacy Dispensing Site | 6701 159th St, Suite 1, Tinley Park, IL 60477-1758 | 2013-08-02 |
| 1154675700 | Donald A Williams Jr. | Physical Therapist | 6701 159th St, Tinley Park, IL 60477-1758 | 2012-11-05 |
| 1982953881 | Elizabeth Gezaw | Physical Therapist | 6701 159th St, Tinley Park, IL 60477-1758 | 2012-09-06 |
| 1487829990 | Medcentrix Inc. | Pharmacy | 6701 159th St, Tinley Park, IL 60477-1758 | 2008-04-25 |
| 1669687307 | James Alfred Wallace | Internal Medicine | 6701 159th St, Suite 1, Tinley Park, IL 60477-1758 | 2007-05-14 |
| 1134257801 | Walid Kandah | Emergency Medicine | 6701 159th St, Tinley Park, IL 60477-1758 | 2007-03-02 |
| 1467588061 | Amjad Akhtar | Emergency Medicine | 6701 159th St, Tinley Park, IL 60477-1758 | 2007-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522366 | Joshua Gruenke | Physical Therapist | 17129 S. Harlem Avenue, Tinley Park, IL 60477 | 2020-09-14 |
| 1881229656 | Sherrie Lynn Tsang | Massage Therapist | 7925 West 171st Street, Tinley Park, IL 60477 | 2020-03-11 |
| 1437782117 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 17129 S Harlem Ave. Ste B3, Tinley Park, IL 60477 | 2020-02-20 |
| 1356998561 | Rasa Vaskeviciute | Physical Therapist | 17129 So Harlem, Tinley Park, IL 60477 | 2019-08-22 |
| 1538728258 | Michelle Anne Wisen | Physical Therapy Assistant | 17129 South Harlem, Suite B3, Tinley Park, IL 60477 | 2019-06-06 |
| 1073006151 | Danielle Lyon | Counselor | 6801 West 180th Court, Tinley Park, IL 60477 | 2018-06-13 |
| 1316445794 | Yvonne Tran | Physical Therapist | 17129 S Harlem Ave, Tinley Park, IL 60477 | 2018-01-31 |
| 1326574591 | Nicholas Barker | Chronic Disease Hospital | 7859 Joliet Drive North, Tinley Park, IL 60477 | 2017-05-10 |
| 1982063632 | Nicole Kristine Demarco | Specialist/Technologist | 16317 Clark Ln, Tinley Park, IL 60477 | 2016-02-22 |
| 1376900571 | Ucp Seguin Greater Chicago | Foster Care Agency | 7550 W. 183rd, Tinley Park, IL 60477 | 2016-01-20 |
| Find all providers in zip 60477 | ||||
| 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 |
|---|---|---|---|---|
| 1699236612 | Behdod Katebian | Urology | 5841 S Maryland Ave Rm J-653, Chicago, IL 60637-1443 | 2019-03-31 |
| 1912436015 | Robert Ara Petrossian | Urology | 301 N 8th St # 4b143c, Springfield, IL 62701-1041 | 2017-06-12 |
| 1134657026 | Soojin Kim | Urology | 225 E. Chicago Avenue, Box 24, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL 60611 | 2017-05-23 |
| 1619337912 | George Robert Buckun | Urology | 930 Rogers St., #301, Downers Grove, IL 60515 | 2016-02-29 |
| 1275991606 | Nicole Alyssa Hamilton | Urology | 22285 N Pepper Rd Ste 201, Lake Barrington, IL 60010-2540 | 2016-01-30 |
| 1790164002 | Shay Golan | Urology | 5841 S Maryland Ave Mc6038, Chicago, IL 60637-1447 | 2015-05-20 |
| 1528453594 | Christopher Stockdale | Urology | 300 W Hill St Apt 707, Chicago, IL 60610-7537 | 2015-04-06 |
| 1639568447 | Jeremy Lai | Urology | 420 E Superior St Ste 9-900, Chicago, IL 60611-4494 | 2015-01-16 |
| 1386053759 | Ramiro Felix Prudencio | Urology | 1200 Broadmeadow Rd, Winnetka, IL 60093-3707 | 2014-08-10 |
| 1174933048 | Kyle John Ericson | Urology | 924 E 57th St, Suite 104, Chicago, IL 60637-1455 | 2014-05-01 |
| Find all providers with the same taxonomy | ||||
| City | TINLEY PARK |
| Zip Code | 60477 |
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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.