Organization Active NPI

Strauss Surgical Group Assoc, S.C.

  • Urology Physician
  • Chicago, IL
National Provider Identifier
1841217767
Registry record updated Oct 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
036036482 Issued in IL
Legal business name
STRAUSS SURGICAL GROUP ASSOC, S.C.
Practice address
4640 N Marine Dr
Chicago, IL 60640-5719
Phone
(773) 564-6200
Fax
(773) 564-6201
NPI assigned
Jul 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2014

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

Authorized official

Name
Herbert Sohn, M.D.
Title
President
Phone
(773) 564-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 036036482 IL Primary

Addresses

Primary practice location

4640 N Marine Dr
Chicago, IL 60640-5719

Mailing address

5501 W 79TH St
Suite 400
Burbank, IL 60459-1784
Phone (773) 884-4523

Other identifiers 3

IdentifierTypeStateIssuer
01615141OtherILBLUE SHIELD
036036482MedicaidIL
340007445OtherRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

4640 N Marine Dr
#2
Chicago, IL 60640
Phone (773) 275-3200

4640 N Marine Dr
Fl 6
Chicago, IL 60640
Phone (773) 564-6200

4640 N Marine Dr
Ste A66
Chicago, IL 60640
Phone (773) 564-6200

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413849600000",
    "number": "1841217767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 W 79TH ST",
            "address_2": "SUITE 400",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604591784",
            "telephone_number": "773-884-4523",
            "fax_number": "773-884-4580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 N MARINE DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405719",
            "telephone_number": "773-564-6200",
            "fax_number": "773-564-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRAUSS SURGICAL GROUP ASSOC, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2014-10-21",
        "status": "A",
        "authorized_official_last_name": "SOHN",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-564-6200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "IL",
            "license": "036036482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "01615141",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036036482",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "340007445",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; 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.