NPIMap

Organization Active NPI

Uropartners, LLC

  • Urology Physician
  • Skokie, IL
National Provider Identifier
1437104262
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
UROPARTNERS, LLC
Practice address
9669 N Kenton Ave
Ste 608
Skokie, IL 60076-1248
Phone
(847) 677-4111
Fax
(847) 677-3343
NPI assigned
May 23, 2006
Last updated
Nov 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 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 with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU
Urology Physician 208800000X NU Primary

Addresses

Primary practice location

9669 N Kenton Ave
Ste 608
Skokie, IL 60076-1248

Mailing address

9669 N Kenton Ave
Ste 608
Skokie, IL 60076-1248
Phone (847) 677-4111

Other practice location 1

757 Park Ave W Ste 3800
Highland Park, IL 60035-2558
Phone (847) 480-3993

Other identifiers 2

IdentifierTypeStateIssuer
DE8400OtherILRAILROAD MEDICARE
01635877OtherBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

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

Other NPIs on the same Medicare enrollment 13

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

View all 13

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D1030535Uropartners LLC9669 N Kenton-Suite 309, Skokie, IL 60076Certificate of waiverSep 7, 2026

National Provider Directory

National Provider Directory

Locations

9669 Kenton Ave
Ste 608
Skokie, IL 60076
Phone (312) 784-2222

Practitioners & affiliated clinicians

Practitioners 30

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 30

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573516800000",
    "number": "1437104262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9669 N KENTON AVE",
            "address_2": "STE 608",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761248",
            "telephone_number": "847-677-4111",
            "fax_number": "847-677-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9669 N KENTON AVE",
            "address_2": "STE 608",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761248",
            "telephone_number": "847-677-4111",
            "fax_number": "847-677-3343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "757 Park Ave W Ste 3800",
            "address_purpose": "LOCATION",
            "city": "Highland Park",
            "state": "IL",
            "postal_code": "600352558",
            "country_code": "US",
            "telephone_number": "847-480-3993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UROPARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2019-11-12",
        "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": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "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": "RAILROAD MEDICARE",
            "identifier": "DE8400",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01635877",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.