Uropartners, LLC
Organization Active NPI Urology Physician · Chicago, IL
NPI 1386697233 · NPPES record last updated Oct 27, 2015
Key facts
- NPI
- 1386697233
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urology Physician 208800000X
- Legal business name
- UROPARTNERS, LLC
- Practice address
- 2850 S Wabash Ave
Ste 106
Chicago, IL 60616-2955 - Phone
- (312) 842-4400
- NPI assigned
- May 19, 2006
- Organization subpart
- No
Authorized official
- Name
- Richard Harris, MD
- Title
- Authorized Representative
- Phone
- (708) 492-0502
Other NPIs on the same Medicare enrollment 13
Practitioners 4
-
John J Cudecki, MD
-
Kelly Dugan, NP
-
Michael Gomez, M.D.
-
Fiona Lane, DNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician |
208800000X | Yes |
Addresses
Primary practice location
2850 S Wabash Ave
Ste 106
Chicago, IL 60616-2955
Mailing address
2850 S Wabash Ave
Ste 106
Chicago, IL 60616-2955
Phone (312) 842-4400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01635877 | Other | BCBS | |
| DE8766 | Other | RAILROAD MEDICARE |
Other providers in Chicago, IL
- Uropartners, LLC
- Uropartners, LLC
- Uropartners, LLC
- Uropartners, LLC
- Uropartners, LLC
- Uropartners, LLC
- Uropartners, LLC
- Uropartners, LLC
- Uropartners, LLC
- Uropartners, LLC
All providers in Chicago, IL · Urology Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.