Organization Active NPI

West Suburban Urology, S.C.

  • Urology Physician
  • Downers Grove, IL
National Provider Identifier
1841352788
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
WEST SUBURBAN UROLOGY, S.C.
Practice address
3825 Highland
# 207
Downers Grove, IL 60515
Phone
(630) 960-1498
Fax
(630) 960-9303
NPI assigned
Dec 15, 2006
Last updated
Jul 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Authorized official

Name
Mrs. Jamie M. Belcher
Title
Medical Biller
Phone
(630) 960-1498

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X Primary

Addresses

Primary practice location

3825 Highland
# 207
Downers Grove, IL 60515

Mailing address

3825 Highland
# 207
Downers Grove, IL 60515
Phone (630) 960-1498

Other identifiers 1

IdentifierTypeStateIssuer
036042928MedicaidIL

National Provider Directory

National Provider Directory

Locations

3825 Highland Ave
Ste 207
Downers Grove, IL 60515
Phone (312) 960-1498

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374537600000",
    "number": "1841352788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 HIGHLAND",
            "address_2": "# 207",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "60515",
            "telephone_number": "630-960-1498",
            "fax_number": "630-960-9303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 HIGHLAND",
            "address_2": "# 207",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "60515",
            "telephone_number": "630-960-1498",
            "fax_number": "630-960-9303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SUBURBAN UROLOGY, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2013-07-23",
        "status": "A",
        "authorized_official_last_name": "BELCHER",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "630-960-1498",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036042928",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; 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.