DR. MICHAEL HERZOG (NPI# 1639197957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639197957 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL HERZOG |
| Credential | M.D. |
| Practice Address |
16522 S.106 Court Orland Park IL 60467 |
| Mailing Address |
10400 Southwest Hwy Ll Chicago Ridge IL 60415-1367 |
| Practice Telephone | 7085908765 |
| Practice Fax Number | 7085908777 |
| Mailing Telephone | 7085817308 |
| Mailing Fax Number | 7082744027 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2010-03-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 036107343 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036107343 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730474396 | Michael Herzog | Pharmacist | 4020 Milan Rd, T-2159, Sandusky, OH 44870-5892 | 2011-06-12 |
| 1861703266 | Michael Joseph Herzog | Social Worker | 4 Commerce Lane, Canton, NY 13617-3739 | 2010-06-30 |
| Street Address |
16522 S.106 COURT |
| City | ORLAND PARK |
| State | IL |
| Zip Code | 60467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700435666 | Abigail Flaherty | Specialist/Technologist | 17430 Brookwood Ct, Orland Park, IL 60467 | 2019-09-04 |
| 1114483567 | Allison Winkelman I | Behavioral Analyst | 8505 West 183rd Street, Ste D, Tinley Park, ID 60467 | 2019-02-11 |
| 1043794332 | Stella Lewally | Nurse Practitioner | 11528 183rd St, Orland Park, IL 60467 | 2018-09-21 |
| 1992202535 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 16660 South 107th Avenue, Orland Park, IL 60467 | 2018-04-10 |
| 1467955781 | Dr Matthew E Schmidt & Associates Ophthalmologists S.c. | Eyewear Supplier (Equipment, not the service) | 10732 W 165th St, Orland Park, IL 60467 | 2018-03-13 |
| 1053835694 | Mbr In-home Care, LLC | In Home Supportive Care | 16616 S 107th Court, Orland Park, IL 60467 | 2017-07-26 |
| 1568984029 | Meaghan Hansen Hansen | Nurse Practitioner | Laser Spine Center of Chicago, 16604 S. 107th Ct., Orland Park, IL 60467 | 2017-07-16 |
| 1790212587 | Maria Degrazia Cohen | Developmental Therapist | 9800 Liberty Circle, 3w, Orland Park, IL 60467 | 2017-05-11 |
| 1902354319 | Debra Kramer | Nurse Practitioner | 14315 South 108th Ave., Suite 215, Orland Park, IL 60467 | 2016-09-14 |
| 1689071524 | Morgan Johnson | Specialist/Technologist | 11141 Saratoga Drive, Orland Park, IL 60467 | 2014-11-20 |
| Find all providers in zip 60467 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497173447 | Ted Vellos | Urology | 13545 Circle Dr, Orland Park, IL 60462-1345 | 2014-04-06 |
| 1659399970 | David Raminski | Urology | 16522 S. 106 Court, Orland Park, IL 60467 | 2006-07-17 |
| 1487628228 | Charles Oliver Turk | Urology | 15234 S Harlem Ave, Orland Park, IL 60462-4330 | 2006-02-16 |
| 1871635789 | Associated Urological Specialists LLC | Urology | 15300 West Ave, West Building Suite 314, Orland Park, IL 60462-4600 | 2007-02-14 |
| 1821139940 | Associated Urological Specialists LLC | Urology | 16522 S. 106 Court, Orland Park, IL 60467 | 2007-02-09 |
| 1497896971 | Associated Urological Specialists LLC | Urology | 15234 S Harlem Ave, Orland Park, IL 60462-4330 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699236612 | Behdod Katebian | Urology | 5841 S Maryland Ave Rm J-653, Chicago, IL 60637-1443 | 2019-03-31 |
| 1912436015 | Robert Ara Petrossian | Urology | 301 N 8th St # 4b143c, Springfield, IL 62701-1041 | 2017-06-12 |
| 1134657026 | Soojin Kim | Urology | 225 E. Chicago Avenue, Box 24, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL 60611 | 2017-05-23 |
| 1619337912 | George Robert Buckun | Urology | 930 Rogers St., #301, Downers Grove, IL 60515 | 2016-02-29 |
| 1275991606 | Nicole Alyssa Hamilton | Urology | 22285 N Pepper Rd Ste 201, Lake Barrington, IL 60010-2540 | 2016-01-30 |
| 1790164002 | Shay Golan | Urology | 5841 S Maryland Ave Mc6038, Chicago, IL 60637-1447 | 2015-05-20 |
| 1528453594 | Christopher Stockdale | Urology | 300 W Hill St Apt 707, Chicago, IL 60610-7537 | 2015-04-06 |
| 1639568447 | Jeremy Lai | Urology | 420 E Superior St Ste 9-900, Chicago, IL 60611-4494 | 2015-01-16 |
| 1386053759 | Ramiro Felix Prudencio | Urology | 1200 Broadmeadow Rd, Winnetka, IL 60093-3707 | 2014-08-10 |
| 1174933048 | Kyle John Ericson | Urology | 924 E 57th St, Suite 104, Chicago, IL 60637-1455 | 2014-05-01 |
| Find all providers with the same taxonomy | ||||
| City | ORLAND PARK |
| Zip Code | 60467 |
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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.