Associated Urological Specialists LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

ASSOCIATED UROLOGICAL SPECIALISTS LLC

Practice address

7340 W College Dr
Palos Heights, IL 60463-1159

Phone

(708) 923-2400

NPI assigned

Feb 12, 2007

Last updated

Mar 18, 2020By the provider in NPPES

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

• Midwest Urology Other name

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584489600000",
    "number": "1831231562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7340 W COLLEGE DR",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7340 W COLLEGE DR",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631159",
            "telephone_number": "708-923-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED UROLOGICAL SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "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": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Urology",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Midwest Urology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Urology Physician in Palos Heights, IL
• Providers in Palos Heights, 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.