NPIMap

Organization Active NPI

Advanced Urology LTD

  • Urology Physician
  • Skokie, IL
National Provider Identifier
1972589232
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
ADVANCED UROLOGY LTD
Practice address
4959 Golf Rd
Skokie, IL 60077
Phone
(847) 410-8416
Fax
(224) 496-2424
NPI assigned
Dec 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Authorized official

Name
Mr. Lev Elterman, M.DNPI 1851377113
Title
MD/Owner
Phone
(847) 410-8416

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)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

4959 Golf Rd
Skokie, IL 60077

Mailing address

4959 Golf Rd
Skokie, IL 60077
Phone (847) 410-8416

Other identifiers 1

IdentifierTypeStateIssuer
01633701OtherILBLUE CROSS / BLUE SHIELD

Other names 2

  • Eherman Center for Women's and Men's Health Doing business as
  • Elterman Center for Women's and Men's Health Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031230000143 IL Part B Supplier - Clinic/Group Practice 0345148284 Receives reassigned benefits from 12 practitioners
Practice locations: Chicago, IL; Wheeling, IL; Skokie, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0984062Advanced Urology4959 Golf Road, Skokie, IL 60077ComplianceJul 31, 2026

National Provider Directory

National Provider Directory

Locations

4646 N Marine Dr
Ste 5000
Chicago, IL 60640

4959 Golf Rd
Skokie, IL 60077
Phone (847) 410-8416

Practitioners & affiliated clinicians

Practitioners 12

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

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1972589232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4959 GOLF RD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "60077",
            "telephone_number": "847-410-8416",
            "fax_number": "224-496-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4959 GOLF RD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "60077",
            "telephone_number": "847-410-8416",
            "fax_number": "224-496-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED UROLOGY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-19",
        "last_updated": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "ELTERMAN",
        "authorized_official_first_name": "LEV",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "847-410-8416",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS / BLUE SHIELD",
            "identifier": "01633701",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eherman Center for Women's and Men's Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elterman Center for Women's and Men's Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.