Urological Surgeons of Illinois, LTD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

UROLOGICAL SURGEONS OF ILLINOIS, LTD

Practice address

375 N Wall St
Suite P530
Kankakee, IL 60901-3483

Phone

(815) 937-4006

Fax

(815) 937-3850

NPI assigned

Oct 5, 2006

Organization subpart

No

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

Authorized official

Name

Joel N Slutsky, MD

Title

President

Phone

(815) 937-4006

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356437578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 N WALL ST",
            "address_2": "SUITE P530",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013483",
            "telephone_number": "815-937-4006",
            "fax_number": "815-937-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 N WALL ST",
            "address_2": "SUITE P530",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013483",
            "telephone_number": "815-937-4006",
            "fax_number": "815-937-3850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGICAL SURGEONS OF ILLINOIS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SLUTSKY",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-937-4006",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Tulley, DO
• Michael Ubaghara
• Ngozi V Ubaghara, APRN
• Israr Ul Haq, M.D.
• United Developmental Services
• Julie L Vanasten, CRNA
• Kevin Chacko Varghese, DO
• Nishita Rao Vattem, DO
• George Verghese, MD
• Karen A Verrill, NP

• All providers in Kankakee, IL
• Urology Physician 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.