Northwest Suburban Urology Associates Sc
Urology in Elk Grove Village, IL. Organization (NPI-2).
Details
- NPI
- 1013089481
- Entity type
- Organization (NPI-2)
- Legal business name
- Northwest Suburban Urology Associates Sc
- Organization subpart
- No
- Enumeration date
- Nov 14, 2006
- Last updated
- Dec 29, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | – | – | Yes |
Practice location
800 Biesterfield RdSuite 303
Elk Grove Village, IL 60007-7312
Phone 847-593-0404 · Fax 847-593-1509
Mailing address
800 Biesterfield RdSuite 303
Elk Grove Village, IL 60007-7312
Phone 847-593-0404 · Fax 847-593-1509
Authorized official
Judith Jerome
Practice Manager
8478714772
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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