Northwest Metropolitan Urology Associates, S.C.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

042007473036054644 Issued in IL

Legal business name

NORTHWEST METROPOLITAN UROLOGY ASSOCIATES, S.C.

Practice address

7900 N Milwaukee Ave
Suite 17
Niles, IL 60714-3159

Phone

(847) 470-0297

Fax

(847) 470-0302

NPI assigned

Nov 16, 2007

Last updated

Nov 16, 2007By 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

James Hursey, R.N

Title

Practice Administrator

Phone

(847) 470-0297

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1447431580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 N MILWAUKEE AVE",
            "address_2": "SUITE 17",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143159",
            "telephone_number": "847-470-0297",
            "fax_number": "847-470-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 N MILWAUKEE AVE",
            "address_2": "SUITE 17",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143159",
            "telephone_number": "847-470-0297",
            "fax_number": "847-470-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST METROPOLITAN UROLOGY ASSOCIATES, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "HURSEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "847-470-0297",
        "authorized_official_credential": "R.N"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "IL",
            "license": "042007473036054644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Suburban Physicians Group, LTD
• North Suburban Surgical Consultants, LLC
• Northshore Medical Practice LTD
• Northside Health, LLC
• Northwest Infectious Disease Consultants, S.C.
• Northwest Podiatry Center
• Northwest Suburban Family Physician LLC
• Northwestern Dental Group LTD
• Ishtar Notali
• Nova Integrative Health and Wellness Inc

• Urology Physician in Niles, IL
• Providers in Niles, IL by specialty
• Urology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.