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ILLINOIS UROLOGIC HEALTH SURGEONS SC NPI 1316904964


NPI Information

NPI: 1316904964
Provider Name: ILLINOIS UROLOGIC HEALTH SURGEONS SC

Former Legal Business Name: GERALD LEVISAY MDSC

Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 14D2084767

Address:
600 EAST FIRST STREET
SPRING VALLEY, IL
ZIP 61362
Phone: (815) 664-5236
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ILLINOIS UROLOGIC HEALTH SURGEONS SC is an urology in Spring Valley, IL. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. ILLINOIS UROLOGIC HEALTH SURGEONS SC NPI is 1316904964. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Gerald Levisay Mdsc.

The provider's business location address is:

600 EAST FIRST STREET
SPRING VALLEY, IL
ZIP 61362
Phone: (815) 664-5236
Fax: (815) 664-5204

The provider's authorized official is Gerald Levisay .
The authorized official title is President and has the following contact phone number (815) 664-5367.

The CLIA number assigned to this NPI record is 14D2084767 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/27/2006 and was last updated on 8/3/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrology042003689ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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