Associated Urological Specialists LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

ASSOCIATED UROLOGICAL SPECIALISTS LLC

Practice address

15234 S Harlem Ave
Orland Park, IL 60462-4330

Phone

(708) 633-4544

Fax

(708) 614-0607

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Eliza Roque

Title

Director

Phone

(708) 608-2195

Specialties & licenses 1

Addresses

Other names 1

• Charles O. Turk, D.O. Doing business as

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584489600000",
    "number": "1497896971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 SOUTHWEST HWY",
            "address_2": "LOWER LEVEL",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604151367",
            "telephone_number": "708-581-7308",
            "fax_number": "708-274-4027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15234 S HARLEM AVE",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624330",
            "telephone_number": "708-633-4544",
            "fax_number": "708-614-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED UROLOGICAL SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A",
        "authorized_official_last_name": "ROQUE",
        "authorized_official_first_name": "ELIZA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "708-608-2195"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charles O. Turk, D.O.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Charles O. Turk, D.O.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Urology Physician in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Urology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.