21St Century Urology, S.C.

LBN: 21St Century Urology, S.C.
21St Century Urology, S.C. is an health care organization with primary practice located at 14315 108Th Ave Suite 230, Orland Park IL 60467-5700. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. 21St Century Urology, S.C. can be contacted via phone (708) 364-7000, or through Bonzani, Robert A. via phone (708) 364-7000.

Contact Information

Primary practice address
14315 108Th Ave Suite 230 Orland Park IL 60467-5700
Phone: (708) 364-7000
Fax: (708) 364-8000
Website:
Map and Directions
Authorized official contact:
Name: Bonzani, Robert A. Doctor of Medicine (MD)
Phone: (708) 364-7000

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1225043896
LBN Legal business name 21St Century Urology, S.C.
DBA Doing business as
Authorized official Bonzani, Robert A. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated May 1st, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225043896 NPPES
Illinois MEDICAID 036097795
Illinois Other 5642652

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