Organization Active NPI

Fransen and Kulb Urology, LTD

  • Lithotripsy Clinic/Center
  • Normal, IL
National Provider Identifier
1770601080
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lithotripsy Clinic/CenterTaxonomy code 261QL0400X
License
7002512 Issued in IL
Legal business name
FRANSEN AND KULB UROLOGY, LTD
Practice address
2100 Fort Jesse Rd
Normal, IL 61761-9370
Phone
(309) 834-4000
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Thomas Kulb
Title
President of the Corporation
Phone
(309) 663-9424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lithotripsy Clinic/Center 261QL0400X 7002512 IL Primary

Addresses

Primary practice location

2100 Fort Jesse Rd
Normal, IL 61761-9370

Mailing address

1401 Eastland Dr
Suite B
Bloomington, IL 61701-3514
Phone (309) 663-9424

Other identifiers 3

IdentifierTypeStateIssuer
P00100008OtherILRR MEDICARE PROVIDER #
0723870001OtherILDURABLE MEDICAL PROVIDER
5732045OtherILBCBS PROVIDER #

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770601080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 EASTLAND DR",
            "address_2": "SUITE B",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617013514",
            "telephone_number": "309-663-9424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 FORT JESSE RD",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617619370",
            "telephone_number": "309-834-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANSEN AND KULB UROLOGY, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KULB",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT OF THE CORPORATION",
        "authorized_official_telephone_number": "309-663-9424"
    },
    "taxonomies": [
        {
            "code": "261QL0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Lithotripsy",
            "state": "IL",
            "license": "7002512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PROVIDER #",
            "identifier": "P00100008",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DURABLE MEDICAL PROVIDER",
            "identifier": "0723870001",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "5732045",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Normal, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.