Provider Demographics
NPI:1891851598
Name:URO CENTER LTD
Entity Type:Organization
Organization Name:URO CENTER LTD
Other - Org Name:THE URO CENTER, LTD
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ISRAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BERGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-329-0900
Mailing Address - Street 1:9669 KENTON AVE
Mailing Address - Street 2:SUITE 306
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076
Mailing Address - Country:US
Mailing Address - Phone:847-329-0900
Mailing Address - Fax:847-679-3817
Practice Address - Street 1:9669 KENTON AVE
Practice Address - Street 2:SUITE 306
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076
Practice Address - Country:US
Practice Address - Phone:847-329-0900
Practice Address - Fax:847-679-3817
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2007-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036047464Medicaid
202250Medicare PIN
ILC38514Medicare UPIN