Illinois Urogynecology, Ltd.

LBN: Illinois Urogynecology, Ltd.
Illinois Urogynecology, Ltd. is an health care organization with primary practice located at 1875 Dempster St Suite 665, Park Ridge IL 60068-1186. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is the primary health care specialty. Illinois Urogynecology, Ltd. can be contacted via phone (847) 825-1590, or through Moen, Michael via phone (847) 825-1590.

Contact Information

Primary practice address
1875 Dempster St Suite 665 Park Ridge IL 60068-1186
Phone: (847) 825-1590
Fax: (847) 825-1604
Website:
Map and Directions
Authorized official contact:
Name: Moen, Michael Doctor of Medicine (MD)
Phone: (847) 825-1590

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 207VF0040X Illinois
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X Illinois

Profile Details

NPI number 1063421899
LBN Legal business name Illinois Urogynecology, Ltd.
DBA Doing business as
Authorized official Moen, Michael Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 8th, 2006
Last updated Aug 9th, 2018 - about 6 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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