FRANSEN AND KULB UROLOGY, LTD (NPI# 1770601080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770601080 |
| Entity Type | Organization |
| Organization Name | FRANSEN AND KULB UROLOGY, LTD |
| Practice Address |
2100 Fort Jesse Rd Normal IL 61761-9370 |
| Mailing Address |
1401 Eastland Dr Suite B Bloomington IL 61701-3514 |
| Practice Telephone | 3098344000 |
| Mailing Telephone | 3096639424 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | THOMAS KULB (PRESIDENT OF THE CORPORATION) |
| Authorized Official Telephone | 3096639424 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QL0400X |
Clinic/Center Specialization: Lithotripsy |
7002512 | IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS PROVIDER # | 5732045 | 01 |
| IL | DURABLE MEDICAL PROVIDER | 0723870001 | 01 |
| IL | RR MEDICARE PROVIDER # | P00100008 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457396558 | Fransen and Kulb Urology, Ltd | Urology | 1401 Eastland Dr, Suite B, Bloomington, IL 61701-3514 | 2006-06-20 |
| Street Address |
2100 FORT JESSE RD |
| City | NORMAL |
| State | IL |
| Zip Code | 61761-9370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083613327 | Bloomington Normal Healthcare, LLC | Clinic/Center | 2100 Fort Jesse Rd, Normal, IL 61761-9370 | 2005-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681796 | Brittany Nicole Mekley | Nurse Practitioner | 201 N. University, Normal, IL 61761 | 2020-08-28 |
| 1679108971 | Krystal Halliday | Occupational Therapist | 1815 N Towanda Barnes Rd, Normal, IL 61761 | 2020-03-06 |
| 1265915474 | Laine E Burek | Nurse Practitioner | 1765 Bradford Ln., Normal, IL 61761 | 2018-09-13 |
| 1801389986 | Ashley Michelle James | Specialist/Technologist | 347 S. University St, Normal, IL 61761 | 2018-06-12 |
| 1447750708 | Shelley R. Ruch | Specialist/Technologist, Other | 1604 Visa Drive, Ste 1, Normal, IL 61761 | 2018-02-13 |
| 1497275069 | Mclean County Nursing Home | Non-emergency Medical Transport (VAN) | 901 N. Main St, Normal, IL 61761 | 2017-06-23 |
| 1235673666 | Megan Threm | Registered Nurse | 900 Franklin Ave Community Health Care Clinic, Normal, IL 61761 | 2016-12-04 |
| 1437513553 | Tiesha Smith | Specialist | 1800 Rockingham Dr, Apt 1d, Normal, IL 61761 | 2016-04-06 |
| 1285031658 | New Day Recovery | Community/Behavioral Health | 402 Summit, Normal, IL 61761 | 2014-12-01 |
| 1174927701 | Alyssa Marie Bruck | Occupational Therapist | 700 N Walnut St, Normal, IL 61761 | 2014-10-10 |
| Find all providers in zip 61761 | ||||
| Taxonomy Code | 261QL0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Lithotripsy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336526219 | United Shockwave Services, Ltd | Clinic/Center | 120 N La Grange Rd, La Grange, IL 60525-2040 | 2015-04-30 |
Please comment or provide details below to improve the information on FRANSEN AND KULB UROLOGY, LTD.
| 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.