NPIMap

Organization Active NPI

Associated Urological Specialists LLC

  • Urology Physician
  • Orland Park, IL
National Provider Identifier
1821139940
Registry record updated Mar 18, 2020
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Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
ASSOCIATED UROLOGICAL SPECIALISTS LLC
Practice address
16522 S. 106 Court
Orland Park, IL 60467
Phone
(708) 590-8765
Fax
(708) 590-8777
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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

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

Addresses

Primary practice location

16522 S. 106 Court
Orland Park, IL 60467

Mailing address

10400 Southwest Hwy
Lower Level
Chicago Ridge, IL 60415-1367
Phone (708) 581-7308

Other names 1

  • Raminski & Herzog Urology Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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": "1821139940",
    "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": "16522 S. 106 COURT",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "60467",
            "telephone_number": "708-590-8765",
            "fax_number": "708-590-8777"
        }
    ],
    "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": "Raminski & Herzog Urology",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Raminski & Herzog Urology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Orland Park, IL

Sources for this page

  • 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.