NPIMap

Organization Active NPI

Uropartners LLC

  • Urology Physician
  • Glenview, IL
National Provider Identifier
1073567905
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
UROPARTNERS LLC
Practice address
2600 Patriot Blvd
Ste. J
Glenview, IL 60026-8024
Phone
(224) 260-3100
NPI assigned
May 22, 2006
Last updated
May 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Authorized official

Name
Richard Harris, MDNPI 1346290673
Title
Authorized Representative
Phone
(708) 450-5055

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Nurse Practitioner 363L00000X NU
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X NU
Radiation Oncology Physician 2085R0001X NU
Urology Physician 208800000X NU Primary

Addresses

Primary practice location

2600 Patriot Blvd
Ste. J
Glenview, IL 60026-8024

Mailing address

2245 Enterprise Dr
Suite 4506
Westchester, IL 60154
Phone (708) 492-0502

Other practice location 1

95 N Greenleaf St Ste A
Gurnee, IL 60031-3309
Phone (847) 623-2114

Other practice location 2

2225 Enterprise Dr Ste 2511
Westchester, IL 60154-5805
Phone (708) 486-0076

Other practice location 3

676 N Saint Clair St Ste 1835
Chicago, IL 60611-3129
Phone (312) 926-3535

Other practice location 4

1011 W Wellington Ave Ste 200
Chicago, IL 60657-7187
Phone (773) 281-1011

Other practice location 5

1725 W Harrison St Ste 352
Chicago, IL 60612-3852
Phone (312) 563-5000

Other practice location 6

1725 W Harrison St Ste 758
Chicago, IL 60612-3863
Phone (312) 942-8484

Other practice location 7

160 E Illinois St
Chicago, IL 60611-5426
Phone (312) 595-1444

Other identifiers 2

IdentifierTypeStateIssuer
01635877OtherILBLUE SHIELD
DE5300OtherILRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050915000277 IL Part B Supplier - Clinic/Group Practice 9436182946 Receives reassigned benefits from 148 practitioners
13 other NPIs on this enrollment
O20231019000451 IN Part B Supplier - Clinic/Group Practice 9436182946 Receives reassigned benefits from 3 practitioners
Practice locations: Merrillville, IN

Other NPIs with the same Medicare PAC ID 24

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 24

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 13

National Provider Directory

National Provider Directory

Locations

1011 W Wellington Ave
Ste 200
Chicago, IL 60657
Phone (773) 280-1011

676 N Saint Clair St
Ste 1835
Chicago, IL 60611
Phone (312) 926-0883

2850 W 95th St
Ste 106
Evergreen Pk, IL 60805
Phone (708) 425-9399

2600 Patriot Blvd
Ste J
Glenview, IL 60026
Phone (224) 260-3100

1851 Silver Cross Blvd
Ste 250
New Lenox, IL 60451
Phone (708) 349-6350

Practitioners & affiliated clinicians

Practitioners 151

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 151

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557792000000",
    "number": "1073567905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2245 ENTERPRISE DR",
            "address_2": "SUITE 4506",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "60154",
            "telephone_number": "708-492-0502",
            "fax_number": "708-492-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 PATRIOT BLVD",
            "address_2": "STE. J",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268024",
            "telephone_number": "224-260-3100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "95 N Greenleaf St Ste A",
            "address_purpose": "LOCATION",
            "city": "Gurnee",
            "state": "IL",
            "postal_code": "600313309",
            "country_code": "US",
            "telephone_number": "847-623-2114",
            "fax_number": "847-623-4628",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2225 Enterprise Dr Ste 2511",
            "address_purpose": "LOCATION",
            "city": "Westchester",
            "state": "IL",
            "postal_code": "601545805",
            "country_code": "US",
            "telephone_number": "708-486-0076",
            "fax_number": "708-492-0203",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "676 N Saint Clair St Ste 1835",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606113129",
            "country_code": "US",
            "telephone_number": "312-926-3535",
            "fax_number": "312-926-3585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1011 W Wellington Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606577187",
            "country_code": "US",
            "telephone_number": "773-281-1011",
            "fax_number": "773-281-1029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1725 W Harrison St Ste 352",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606123852",
            "country_code": "US",
            "telephone_number": "312-563-5000",
            "fax_number": "312-563-5007",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1725 W Harrison St Ste 758",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606123863",
            "country_code": "US",
            "telephone_number": "312-942-8484",
            "fax_number": "312-942-8494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "160 E Illinois St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606115426",
            "country_code": "US",
            "telephone_number": "312-595-1444",
            "fax_number": "312-477-2391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UROPARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2019-05-14",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "708-450-5055",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "01635877",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE5300",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.