Vasectomy Reversal Center of Chicago S C

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

036097400 Issued in IL

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

Organization subpart

No

Name

Dr. Arif Agha, MDNPI 1285711325

Title

Physician

Phone

(800) 928-2763

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

• Arif H Agha, MD

  • Urology Physician
  • Oak Brook, IL
  • NPI 1285711325

  Urology

  NPD (past) Authorized official

Tax ID family

Vasectomy Reversal Center of Chicago S C2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Vasectomy Reversal Center of Chicago SC

  • Urology Physician
  • Oakbrook Terrace, IL
  • NPI 1720363591
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 22, 2014.

{
    "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": "193400000X SINGLE SPECIALTY  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": []
}

• Oliver V Van, DDS
• Mary L Vanheest, LCPC
• Swati Varma, PSY.D
• Vars, Inc.
• Rohitkumar Vasa, M.D.
• Vasectomy Specialist Clinics of Chicago, LTD
• Annabelle Apostol Veerapaneni, MD
• Jennifer Rose Versaskas
• Marina Veslievski
• Victoria Reid PHD LTD

• All providers in Oak Brook, IL
• Urology Physician in Illinois

• 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.

Verify at the official NPI Registry.