NPIMap

Uropartners, LLC

Organization Active NPI Urology Physician · Park Ridge, IL

NPI 1114972965 · NPPES record last updated Sep 20, 2021

Key facts

NPI
1114972965
Entity type
Organization (NPI type 2)
Primary specialty
Urology Physician 208800000X
Legal business name
UROPARTNERS, LLC
Practice address
350 S Northwest Hwy Ste 106
Park Ridge, IL 60068-4262
Phone
(847) 470-1500
Fax
(847) 470-1550
NPI assigned
May 23, 2006
Organization subpart
No

Authorized official

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

Other NPIs on the same Medicare enrollment 13

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

Other NPIs with the same Medicare PAC ID 24

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

Practitioners 139

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 139

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in IL

Medicare enrollment records

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
This NPI is an additional NPI on the enrollment
O20100930075015 IL DME Supplier - Physician - Urology 9436182946 Practice locations: Park Ridge, IL

National Provider Directory

Locations

3183 Paysphere Cir
Chicago, IL 60674

2750 S River Rd
Des Plaines, IL 60018
Phone (708) 273-3052

1660 Feehanville Dr
Ste 200
Mt Prospect, IL 60056

1660 Feehanville Dr
Ste 190
Mt Prospect, IL 60056
Phone (847) 916-0606

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208800000X Yes
Physician Assistant
Group: 193200000X MULTI-SPECIALTY GROUP		 363A00000X
Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP		 363L00000X

Addresses

Primary practice location

350 S Northwest Hwy Ste 106
Park Ridge, IL 60068-4262

Mailing address

350 S Northwest Hwy Ste 106
Park Ridge, IL 60068-4262
Phone (847) 470-1500

Other identifiers

IdentifierTypeStateIssuer
DE0395OtherILRAILROAD MEDICARE
01635877OtherBCBS

Other providers in Park Ridge, IL

All providers in Park Ridge, IL · Urology Physician in Illinois

Sources for this page

Verify at the official NPI Registry.