Organization Active NPI

Lome Urology LTD

  • Urology Physician
  • Evanston, IL
National Provider Identifier
1568776417
Registry record updated Aug 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
036039465 Issued in IL
Legal business name
LOME UROLOGY LTD
Practice address
800 Austin St
Suite 569E
Evanston, IL 60202-3439
Phone
(847) 328-8884
Fax
(847) 328-9129
NPI assigned
Aug 3, 2010
Last updated
Aug 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2010

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

Authorized official

Name
Dr. Leon G Lome, MDNPI 1871638338
Title
President/Owner
Phone
(847) 433-5015

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 036039465 IL Primary

Addresses

Primary practice location

800 Austin St
Suite 569E
Evanston, IL 60202-3439

Mailing address

307 N Deere Park Dr E
Highland Park, IL 60035-5349
Phone (847) 433-5015

Other identifiers 1

IdentifierTypeStateIssuer
036039465MedicaidIL

National Provider Directory

National Provider Directory

Locations

800 Austin St
Ste 202
Evanston, IL 60202
Phone (847) 328-8884

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280793600000",
    "number": "1568776417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 N DEERE PARK DR E",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600355349",
            "telephone_number": "847-433-5015",
            "fax_number": "847-433-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 AUSTIN ST",
            "address_2": "SUITE 569E",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023439",
            "telephone_number": "847-328-8884",
            "fax_number": "847-328-9129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOME UROLOGY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-03",
        "last_updated": "2010-08-03",
        "status": "A",
        "authorized_official_last_name": "LOME",
        "authorized_official_first_name": "LEON",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "847-433-5015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "IL",
            "license": "036039465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036039465",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; 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.