Bormes Urology, S.C.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

BORMES UROLOGY, S.C.

Practice address

900 N Westmoreland Rd
Suite 128
Lake Forest, IL 60045-1674

Phone

(847) 625-6590

Fax

(847) 625-6592

NPI assigned

Jun 4, 2007

Last updated

Mar 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Bormes, M.D.

Title

President

Phone

(847) 625-6590

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1205038015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N WESTMORELAND RD",
            "address_2": "SUITE 128",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451674",
            "telephone_number": "847-625-6590",
            "fax_number": "847-625-6592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N WESTMORELAND RD",
            "address_2": "SUITE 128",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451674",
            "telephone_number": "847-625-6590",
            "fax_number": "847-625-6592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORMES UROLOGY, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "BORMES",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-625-6590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1637650",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36072689",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Allan Block, MD
• Anokhi Dalia Bock, D.M.D , M.S.D.
• Derek James Bock, D.M.D., M.S.
• Body Fixx
• Diane Boquist
• Karen Cristine Born, P.T.
• Cynthia Marie Borosh, RN
• Amanda Borsand
• Theodore Bosi
• Aida Fatusic Bosnjak, RDH, OMT,BBP

• Specialist in Lake Forest, IL
• Providers in Lake Forest, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; 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.