UNITED SHOCKWAVE SERVICES, LTD (NPI# 1497132377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497132377 |
| Entity Type | Organization |
| Organization Name | UNITED SHOCKWAVE SERVICES, LTD |
| Other Organization Name | UNITED THERAPIES |
| Practice Address |
1875 W Dempster St Suite G04 Park Ridge IL 60068-1186 |
| Mailing Address |
Po Box 2178 Des Plaines IL 60017-2178 |
| Practice Telephone | 8774654845 |
| Practice Fax Number | 8472978853 |
| Mailing Telephone | 8774654845 |
| Mailing Fax Number | 8472978853 |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2015-04-30 |
| Authorized Official Name | MR. FBRUCE COHEN (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8475445853 |
| Is Organization Subpart | Y |
| Parent Organization Name | UNITED SHOCKWAVE SERVICES, LTD |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| UNITED THERAPIES | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336526219 | United Shockwave Services, Ltd | Clinic/Center | 120 N La Grange Rd, La Grange, IL 60525-2040 | 2015-04-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | UNITED SHOCKWAVE SERVICES, LTD | 9825 Spectrum Drbldg 3, Austin, TX 78717 |
| Washington State Corporations | UNITED SHOCKWAVE SERVICES, LTD | 10600 W Higgins Rd Ste 301, Rosemont, IL 60018 |
| Colorado Business Entities | United Shockwave Services, Ltd. | 10600 West Higgins Road, Suite 301, Rosemont, IL 60018 |
| Street Address |
1875 W DEMPSTER ST SUITE G04 |
| City | PARK RIDGE |
| State | IL |
| Zip Code | 60068-1186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982688891 | Cole David Lundquist | Dermatology | 1875 W Dempster St, Ste 660, Park Ridge, IL 60068-1186 | 2005-12-05 |
| 1013448620 | Mariam Aboukar | Psychiatry & Neurology | 1875 W Dempster St, Suite 470, Park Ridge, IL 60068-1186 | 2017-03-24 |
| 1841721925 | Chelsea Ann Curry | Psychiatry & Neurology | 1875 W Dempster St, Ste. 470, Park Ridge, IL 60068-1186 | 2017-03-21 |
| 1265894786 | Justin Lam | Psychiatry & Neurology | 1875 W Dempster St, Suite 470, Park Ridge, IL 60068-1186 | 2016-03-23 |
| 1588047245 | Abdelhadi Rifai | Internal Medicine | 1875 W Dempster St, Park Ridge, IL 60068 | 2015-06-30 |
| 1780078337 | Matthew Filippo | Psychiatry & Neurology | 1875 W Dempster St, Suite 470, Park Ridge, IL 60068 | 2015-03-21 |
| 1508283078 | Tiffany Chi Mateo | Psychiatry & Neurology | 1875 W Dempster St, Ste. 470, Park Ridge, IL 60068-1186 | 2014-03-23 |
| 1194091009 | Sarah Elizabeth Hutton | Psychiatry & Neurology | 1875 W Dempster St, Suite 470, Park Ridge, IL 60068-1186 | 2012-03-25 |
| 1811279441 | Primary Care Center, S.c. | Clinic/Center | 1875 W Dempster St, Suite 265, Park Ridge, IL 60068-1186 | 2011-09-09 |
| 1821396516 | Miroslawa Bogumila Link | Nurse Practitioner | 1875 W Dempster St, Suite 665, Park Ridge, IL 60068-1186 | 2011-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861010720 | Caitlin Marie Kompanowski | Dentist | 412 W. Talcott, Park Ridge, IL 60068 | 2020-07-08 |
| 1972142198 | Center for Authentic Living, Inc. | Counselor | 120 Main Street Suite 200, Park Ridge, IL 60068 | 2020-01-06 |
| 1306312152 | Maryann Almores Devilla | Physical Medicine & Rehabilitation | Sunrise Assisted Living, 1725 Ballard Road, Park Ridge, IL 60068 | 2018-10-19 |
| 1053808857 | Landon Ginsberg | Student in an Organized Health Care Education/Training Program | 1775 Ballard, Park Ridge, IL 60068 | 2018-04-17 |
| 1255828448 | Vera W Brink | Obstetrics & Gynecology | Parkside Professional Center, 1875 Dempster St., Ste. 330, Park Ridge, IL 60068 | 2018-04-13 |
| 1205367448 | Courtney Heim | Psychiatry & Neurology | 1875 W.dempster Street - Park Side Professional Center, Ste 470, Park Ridge, IL 60068 | 2017-03-21 |
| 1720521362 | Alexander Mylonas | Psychologist | 1400 Renaissance Dr Ste 401, Park Ridge, IL 60068 | 2016-11-30 |
| 1376090878 | Rebecca Rajasekhar | Audiologist | 1030 W. Higgins Rd., Audiology Room 6, Park Ridge, IL 60068 | 2016-09-01 |
| 1164818449 | Mohammad Taha Mustaf Taha Mustafa Sheikh | Student in an Organized Health Care Education/Training Program | 1550 North Northwest Highway Suite 107, L.m. Prasad, Md, Sc, Park Ridge, IL 60068 | 2015-04-13 |
| 1518397918 | Megan Roberts | Speech-Language Pathologist | 2240 Campus Dr., Evanston, IL 60068 | 2013-11-21 |
| Find all providers in zip 60068 | ||||
| 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 |
|---|---|---|---|---|
| 1003812934 | Thomas L Cottrell | Urology | 2 W Talcott Rd, Ste 11, Park Ridge, IL 60068-5556 | 2005-06-24 |
| 1396801197 | Uropartners, LLC | Urology | 1875 Dempster St, Ste 506, Park Ridge, IL 60068-1186 | 2006-12-28 |
| 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 | PARK RIDGE |
| Zip Code | 60068 |
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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.