Organization Active NPI

Northwest Urological Associates, S.C.

  • Specialist
  • Arlington Heights, IL
National Provider Identifier
1851489751
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
NORTHWEST UROLOGICAL ASSOCIATES, S.C.
Practice address
2101 S Arlington Heights Rd
#108
Arlington Heights, IL 60005-4185
Phone
(847) 439-4343
Fax
(847) 439-4510
NPI assigned
Oct 10, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
David A Nellessen, M.D.NPI 1306934278
Title
Vice-President
Phone
(847) 439-4343

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

2101 S Arlington Heights Rd
Ste 108
Arlington Heights, IL 60005
Phone (224) 404-6500

2010 S Arlington Heights Rd
Ste 121
Arlington Heights, IL 60005
Phone (708) 439-4343

2101 S Arlington Heights Rd
#R
Arlington Heights, IL 60005
Phone (847) 228-6955

850 Biesterfield Rd
Ste 2010
Elk Grove Vlg, IL 60007

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X IL Primary

Addresses

NPPES NPI Registry

Primary practice location

2101 S Arlington Heights Rd
#108
Arlington Heights, IL 60005-4185

Mailing address

2101 S Arlington Heights Rd
#108
Arlington Heights, IL 60005-4185
Phone (847) 439-4343

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851489751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 S ARLINGTON HEIGHTS RD",
            "address_2": "#108",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054185",
            "telephone_number": "847-439-4343",
            "fax_number": "847-439-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 S ARLINGTON HEIGHTS RD",
            "address_2": "#108",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054185",
            "telephone_number": "847-439-4343",
            "fax_number": "847-439-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST UROLOGICAL ASSOCIATES, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NELLESSEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "847-439-4343",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, 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.