Chicago Prostate Center, LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

CHICAGO PROSTATE CENTER, LLC

Practice address

815 Pasquinelli Drive
Westmont, IL 60559-5562

Phone

(630) 654-2515

Fax

(630) 654-2516

NPI assigned

May 17, 2006

Organization subpart

No

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

Authorized official

Name

Mike Pacetti

Title

Chief Financial Officer

Phone

(630) 942-7917

Specialties & licenses 1

Addresses

Other names 1

• Chicago Prostate Cancer Center Doing business as

Locations

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557705600000",
    "number": "1912959040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 PASQUINELLI DRIVE",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595562",
            "telephone_number": "630-654-2515",
            "fax_number": "630-654-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 PASQUINELLI DRIVE",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595562",
            "telephone_number": "630-654-2515",
            "fax_number": "630-654-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO PROSTATE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2019-05-13",
        "status": "A",
        "authorized_official_last_name": "PACETTI",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "630-942-7917"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chicago Prostate Cancer Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chicago Prostate Cancer Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sumit Chawla, D.M.D.
• Cheng Tai Chen, MD
• Kaiyun Chen, D.D.S., PH.D.
• Cherilyn Manney PC
• Chicago Prostate Cancer Surgery Center, LLC
• Chicago Vascular ASC LLC
• Chicagoland Advanced Pain Center
• Chicagoland Advanced Pain Specialists,Inc
• Edward M Cho, DDS
• Edward Timothy Cho, DMD

• Urology Physician in Westmont, IL
• Providers in Westmont, IL by specialty
• Urology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; 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.