Active NPI
Uropartners, LLC
- Urology Physician
- Evanston, IL
National Provider Identifier
1912059254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- UROPARTNERS, LLC
- Practice address
- 800 Austin St
East Tower, Ste. 363
Evanston, IL 60202-3439 - Phone
- (847) 491-1755
- Fax
- (847) 491-9675
- NPI assigned
- Jan 17, 2007
- 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
- Mark T Brandt, MD
- Title
- Supervising Physician
- Phone
- (847) 470-1500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
800 Austin St
East Tower, Ste. 363
Evanston, IL 60202-3439
Mailing address
7900 N Milwaukee Ave
Ste 17
Niles, IL 60714-3159
Phone (847) 470-1500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01619727 | Other | IL | BLUE SHIELD |
National Provider Directory
National Provider Directory- Tax ID family
- Uropartners LLC
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1912059254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7900 N MILWAUKEE AVE",
"address_2": "STE 17",
"city": "NILES",
"state": "IL",
"postal_code": "607143159",
"telephone_number": "847-470-1500",
"fax_number": "847-470-1550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 AUSTIN ST",
"address_2": "EAST TOWER, STE. 363",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602023439",
"telephone_number": "847-491-1755",
"fax_number": "847-491-9675"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UROPARTNERS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-17",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "BRANDT",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "SUPERVISING PHYSICIAN",
"authorized_official_telephone_number": "847-470-1500",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "01619727",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.