UNITED SHOCKWAVE SERVICES LTD (NPI# 1811944515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811944515 |
| Entity Type | Organization |
| Organization Name | UNITED SHOCKWAVE SERVICES LTD |
| Other Organization Name | UNITED THERAPIES |
| Practice Address |
1875 W Dempster St Suite G04 Park Ridge IL 60068-1186 |
| Mailing Address |
Po Box 2178 Des Plaines IL 60017-2178 |
| Practice Telephone | 8475445853 |
| Mailing Telephone | 8774654845 |
| Mailing Fax Number | 8472978853 |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2015-04-22 |
| Authorized Official Name | MR. FBRUCE COHEN (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8475445865 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| N | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
7003158 | IL | Ambulatory Health Care Facilities |
| Y | 261QL0400X |
Clinic/Center Specialization: Lithotripsy |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD | 1617500 | 01 |
| IL | BLUE CROSS BLUE SHIELD | 630 | 01 |
| Other Name | Type Code |
|---|---|
| UNITED THERAPIES | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285674812 | United Shockwave Services Ltd | Clinic/Center | 1875 W Dempster St, Park Ridge, IL 60068-1186 | 2006-06-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | UNITED SHOCKWAVE SERVICES LTD. | 10600 W Higgins Rd Ste 301, Rosemont, Illinois 60018 |
| Street Address |
1875 W DEMPSTER ST SUITE G04 |
| City | PARK RIDGE |
| State | IL |
| Zip Code | 60068-1186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982688891 | Cole David Lundquist | Dermatology | 1875 W Dempster St, Ste 660, Park Ridge, IL 60068-1186 | 2005-12-05 |
| 1013448620 | Mariam Aboukar | Psychiatry & Neurology | 1875 W Dempster St, Suite 470, Park Ridge, IL 60068-1186 | 2017-03-24 |
| 1841721925 | Chelsea Ann Curry | Psychiatry & Neurology | 1875 W Dempster St, Ste. 470, Park Ridge, IL 60068-1186 | 2017-03-21 |
| 1265894786 | Justin Lam | Psychiatry & Neurology | 1875 W Dempster St, Suite 470, Park Ridge, IL 60068-1186 | 2016-03-23 |
| 1588047245 | Abdelhadi Rifai | Internal Medicine | 1875 W Dempster St, Park Ridge, IL 60068 | 2015-06-30 |
| 1497132377 | United Shockwave Services, Ltd | Anesthesiology | 1875 W Dempster St, Suite G04, Park Ridge, IL 60068-1186 | 2015-04-30 |
| 1780078337 | Matthew Filippo | Psychiatry & Neurology | 1875 W Dempster St, Suite 470, Park Ridge, IL 60068 | 2015-03-21 |
| 1508283078 | Tiffany Chi Mateo | Psychiatry & Neurology | 1875 W Dempster St, Ste. 470, Park Ridge, IL 60068-1186 | 2014-03-23 |
| 1194091009 | Sarah Elizabeth Hutton | Psychiatry & Neurology | 1875 W Dempster St, Suite 470, Park Ridge, IL 60068-1186 | 2012-03-25 |
| 1811279441 | Primary Care Center, S.c. | Clinic/Center | 1875 W Dempster St, Suite 265, Park Ridge, IL 60068-1186 | 2011-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861010720 | Caitlin Marie Kompanowski | Dentist | 412 W. Talcott, Park Ridge, IL 60068 | 2020-07-08 |
| 1972142198 | Center for Authentic Living, Inc. | Counselor | 120 Main Street Suite 200, Park Ridge, IL 60068 | 2020-01-06 |
| 1306312152 | Maryann Almores Devilla | Physical Medicine & Rehabilitation | Sunrise Assisted Living, 1725 Ballard Road, Park Ridge, IL 60068 | 2018-10-19 |
| 1053808857 | Landon Ginsberg | Student in an Organized Health Care Education/Training Program | 1775 Ballard, Park Ridge, IL 60068 | 2018-04-17 |
| 1255828448 | Vera W Brink | Obstetrics & Gynecology | Parkside Professional Center, 1875 Dempster St., Ste. 330, Park Ridge, IL 60068 | 2018-04-13 |
| 1205367448 | Courtney Heim | Psychiatry & Neurology | 1875 W.dempster Street - Park Side Professional Center, Ste 470, Park Ridge, IL 60068 | 2017-03-21 |
| 1720521362 | Alexander Mylonas | Psychologist | 1400 Renaissance Dr Ste 401, Park Ridge, IL 60068 | 2016-11-30 |
| 1376090878 | Rebecca Rajasekhar | Audiologist | 1030 W. Higgins Rd., Audiology Room 6, Park Ridge, IL 60068 | 2016-09-01 |
| 1164818449 | Mohammad Taha Mustaf Taha Mustafa Sheikh | Student in an Organized Health Care Education/Training Program | 1550 North Northwest Highway Suite 107, L.m. Prasad, Md, Sc, Park Ridge, IL 60068 | 2015-04-13 |
| 1518397918 | Megan Roberts | Speech-Language Pathologist | 2240 Campus Dr., Evanston, IL 60068 | 2013-11-21 |
| Find all providers in zip 60068 | ||||
| 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 |
| 1770601080 | Fransen and Kulb Urology, Ltd | Clinic/Center | 2100 Fort Jesse Rd, Normal, IL 61761-9370 | 2007-03-26 |
| City | PARK RIDGE |
| Zip Code | 60068 |
Please comment or provide details below to improve the information on UNITED SHOCKWAVE SERVICES 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.