ADVANCED UROLOGY ASSOCIATES SC (NPI# 1396758553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396758553 |
| Entity Type | Organization |
| Organization Name | ADVANCED UROLOGY ASSOCIATES SC |
| Practice Address |
1541 Riverboat Center Dr Joliet IL 60431-9341 |
| Practice Telephone | 8157413825 |
| Practice Fax Number | 8157413263 |
| Mailing Telephone | 8157413825 |
| Mailing Fax Number | 8157413263 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2012-07-05 |
| Authorized Official Name | DR. GREGORY LEWIS (PRESIDENT) |
| Authorized Official Telephone | 8157413825 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 042003978 | IL | Other Service Providers |
| Street Address |
1541 RIVERBOAT CENTER DR |
| City | JOLIET |
| State | IL |
| Zip Code | 60431-9341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942289129 | Ryan Manecke | Urology | 1541 Riverboat Center Dr, Joliet, IL 60431-9341 | 2006-01-16 |
| 1710486063 | Carrie Defuss | Nurse Practitioner | 1541 Riverboat Center Dr, Joliet, IL 60431-9341 | 2018-02-01 |
| 1194188383 | Ryan Lewis | Physician Assistant | 1541 Riverboat Center Dr, Joliet, IL 60431-9341 | 2016-04-04 |
| 1235403130 | Peter Tek | Family Medicine | 1541 Riverboat Center Dr, Joliet, IL 60431-9341 | 2012-02-24 |
| 1013248574 | Elizabeth Ann Bean | Physician Assistant | 1541 Riverboat Center Dr, Joliet, IL 60431-9341 | 2010-01-23 |
| 1831398445 | Constance A Marks | Specialist | 1541 Riverboat Center Dr, Joliet, IL 60431-9341 | 2007-07-13 |
| 1003032293 | Tasha Dawn Horsley | Nurse Practitioner | 1541 Riverboat Center Dr, Joliet, IL 60431-9341 | 2007-04-17 |
| 1588760144 | Vera Petras | Radiology | 1541 Riverboat Center Dr, Joliet, IL 60431-9341 | 2006-09-14 |
| 1164531034 | Sandeep Sawhney | Urology | 1541 Riverboat Center Dr, Joliet, IL 60431-9341 | 2006-08-30 |
| 1669400933 | Luke S Cho | Urology | 1541 Riverboat Center Dr, Joliet, IL 60431-9341 | 2006-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588173413 | Margaret Ann Silvas | Nurse's Aide | 3627 Woodside Ct, Joliet, IL 60431 | 2017-09-22 |
| 1174900757 | Melissa Suzanne Spoula | Optometrist | 3340 Mall Loop Dr Spc 1442, Joliet, IL 60431 | 2015-05-02 |
| 1154678373 | Melissa J Murphy | Physical Therapist | 852 A Sharp Drive, Provena Therapy and Industrial Rehabilitation Center, Shorewood, IL 60431 | 2012-08-07 |
| 1053540096 | Sarah M Patnoudes | Occupational Therapist | 1035 Heron Circle, Joliet, IL 60431 | 2009-07-13 |
| 1558598649 | Regi Nair | Pharmacy Technician | 1901 Appleman, Joliet, IL 60431 | 2009-06-16 |
| 1346483948 | John A. Propati, Inc. | Clinic/Center | 1401 Illinois Rt. 59, Shorewood, IL 60431 | 2009-04-13 |
| 1467622910 | Cornerstone Home Healthcare LLC | Home Health | 350 Houbolt Rd., Suite 209, Joliet, IL 60431 | 2008-03-11 |
| 1780898098 | Annie Bishop | Home Health Aide | 3806 Brenton Dr, Joliet, IL 60431 | 2007-05-09 |
| 1760601272 | James John Babiuk | Dentist | 3209 Fiday Rd, Joliet, IL 60431 | 2007-04-24 |
| 1689731481 | Smile Street Dental | Dentist | 3587 Hennepin Dr, Joliet, IL 60431 | 2007-01-02 |
| Find all providers in zip 60431 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306223649 | Deborah Faynik | Specialist | 1004 Buell Ave, Joliet, IL 60435-6940 | 2015-05-06 |
| 1740693043 | Kara Lyn King | Specialist | 101 Hempstead Pl, Joliet, IL 60433-1745 | 2014-06-04 |
| 1023377801 | George E Dephillips Md Sc | Specialist | 903 N 129th Infantry Dr Ste 200, Joliet, IL 60435-5002 | 2012-05-14 |
| 1235461096 | Kidney Care Center of Northern Illinois, LLC | Specialist | 95 N 129th Infantry Dr, Joliet, IL 60435-5134 | 2010-02-04 |
| 1245419464 | Kim Katherine Bradley | Specialist | 8211 Trumbull Ave, Joliet, IL 60431-4532 | 2007-10-25 |
| 1962604983 | Will County Ob Gyn Ltd | Specialist | 1114 N Larkin Ave, Joliet, IL 60435-3435 | 2007-06-01 |
| 1922158617 | Deborah M Freeman | Specialist | 30 Uno Cir, Joliet, IL 60435-6632 | 2007-01-12 |
| 1306904131 | Russell I Khater | Specialist | 1106 N Larkin Ave, Lower Level, Joliet, IL 60435-3455 | 2006-12-05 |
| 1801964473 | Pain Centers of Chicago LLC | Specialist | 301 North Madison Street, Suite 306, Joliet, IL 60435 | 2006-12-01 |
| 1417067596 | Innerpeace Natural Healthcare | Specialist | 1002 Infantry Drive, #e, Joliet, IL 60435-3010 | 2006-08-30 |
| Find all providers in JOLIET | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.