Urology Specialists of Lake County, S.C.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

UROLOGY SPECIALISTS OF LAKE COUNTY, S.C.

Practice address

202 S Greenleaf St
Suite D
Gurnee, IL 60031-3399

Phone

(847) 599-1111

Fax

(847) 599-1148

NPI assigned

Jan 2, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Raza Khan, M.D.

Title

Physician

Phone

(847) 599-1111

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003973827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 S GREENLEAF ST",
            "address_2": "SUITE D",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313399",
            "telephone_number": "847-599-1111",
            "fax_number": "847-599-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S GREENLEAF ST",
            "address_2": "SUITE D",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313399",
            "telephone_number": "847-599-1111",
            "fax_number": "847-599-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY SPECIALISTS OF LAKE COUNTY, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "RAZA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "847-599-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zubina S Unjom, MD
• Nandini Upadhyay, MD
• Susan Urban, LCSW
• Christina Urbanik, DO
• Urology Associates, LTD
• Uropartners LLC
• Uropartners LLC
• Uropartners, LLC
• Gianna Natalie Valero
• Fehmida M Valiullah, PT

• Specialist in Gurnee, IL
• Providers in Gurnee, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.