Active NPI
Vasectomy Reversal Center of Chicago S C
- Urology Physician
- Oak Brook, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 036097400
- Legal business name
- VASECTOMY REVERSAL CENTER OF CHICAGO S C
- Practice address
- 600 Enterprise Dr
Suite 218
Oak Brook, IL 60523-1922 - Phone
- (800) 928-2763
- Fax
- (630) 990-4245
- NPI assigned
- Jan 22, 2014
- Last updated
- Jan 22, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Arif Agha, MD
- Title
- Physician
- Phone
- (800) 928-2763
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 036097400 | IL | Primary |
Addresses
Primary practice location
600 Enterprise Dr
Suite 218
Oak Brook, IL 60523-1922
Mailing address
600 Enterprise Dr
Suite 218
Oak Brook, IL 60523-1922
Phone (800) 928-2763
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036097400 | Other | IL | LICENSE |
National Provider Directory
National Provider Directory- Tax ID family
- Vasectomy Reversal Center of Chicago S C
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Urology Physician
- Oakbrook Terrace, IL
- NPI 1720363591
Locations
600 Enterprise Dr
Ste 218
Oak Brook, IL 60523
Phone (630) 620-0320
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Urology Physician
- Oak Brook, IL
- NPI 1285711325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1390348800000",
"number": "1861815128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 ENTERPRISE DR",
"address_2": "SUITE 218",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231922",
"telephone_number": "800-928-2763",
"fax_number": "630-990-4245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 ENTERPRISE DR",
"address_2": "SUITE 218",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231922",
"telephone_number": "800-928-2763",
"fax_number": "630-990-4245"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VASECTOMY REVERSAL CENTER OF CHICAGO S C",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-22",
"last_updated": "2014-01-22",
"status": "A",
"authorized_official_last_name": "AGHA",
"authorized_official_first_name": "ARIF",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "800-928-2763",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "IL",
"license": "036097400",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "036097400",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oak Brook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.