Urological Associates of Belleville Il LTD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

UROLOGICAL ASSOCIATES OF BELLEVILLE IL LTD

Practice address

301 W Lincoln St Ste 57
Belleville, IL 62220-1901

Phone

(618) 233-2603

Fax

(618) 233-0413

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Dennis Jerome Stanczyk, M.D.

Title

President

Phone

(618) 233-2603

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1629167986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W LINCOLN ST STE 57",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622201901",
            "telephone_number": "618-233-2603",
            "fax_number": "618-233-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W LINCOLN ST STE 57",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622201901",
            "telephone_number": "618-233-2603",
            "fax_number": "618-233-0413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGICAL ASSOCIATES OF BELLEVILLE IL LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "STANCZYK",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-233-2603",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "289630",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terrence A Tyrrell, MD
• Matthew Alan Uchtman, D.C.
• Katrina Ufert, PHARM.D.
• Natalie Unes, PT
• Donald Richard Unwin, M.D.
• Ahsan Usman, MD
• Sana Usman, M.D.
• Paul Jack Utsler
• Nnenna Louisa Uzodi, MD, MPH
• Tessa Valdez, MS, ATC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.