NORTH SHORE UROGYNECOLOGY LTD
NPI 1013021922
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Park City, IL

Active since August 18, 2006CLIA 14D1056847 · Certificate of Compliance
351 GREENLEAF AVE, E, PARK CITY, IL 60085(847) 234-1100(847) 775-0703 Get Directions Write a Review

NPPES record last updated: December 18, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 18, 2021, Aug 18, 2016 (2 updates tracked since 2016).

About North Shore Urogynecology Ltd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTH SHORE UROGYNECOLOGY LTD (NPI 1013021922) is a healthcare organization registered as an urogynecology and reconstructive pelvic surgery in Park City, Illinois and active in the NPI registry since August 2006. The organization holds a CLIA Certificate of Compliance certificate valid through October 30, 2026 and lists Sanjay Gandhi, President, as its authorized official.

NPPES Registry Identity

NPI1013021922
Entity TypeOrganization
Primary Taxonomy207VF0040X
Legal Business NameNORTH SHORE UROGYNECOLOGY LTD
Location Address351 GREENLEAF AVE, EPark City, IL 60085-5701
Mailing Address351 Greenleaf Ave, EPark City, IL 60085-5701 · (847) 234-1100 · Fax (847) 775-0703
Fax(847) 775-0703
Organization SubpartNo
Authorized OfficialSanjay GandhiPresident · (847) 234-1100
Enumeration DateAugust 18, 2006
Last NPPES UpdateDecember 18, 20212 updates tracked since enumeration
NPPES CertifiedDecember 18, 2021
NPI 1013021922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207VF0040X
License Licensed in IL · 036-101308
Definition
A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X · License 036101308 (IL)
Also ListedUrologyTaxonomy 208800000X · License 036101308 (IL)
351 GREENLEAF AVE, Park City, IL 60085

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 14D1056847

North Shore Urogynecology, Ltd · Park City, IL
Active · expires Oct 30, 2026
CLIA Number14D1056847
Laboratory TypePhysician Office
Certificate Effective DateOctober 31, 2024
Certificate Expiration DateOctober 30, 2026
Laboratory DirectorWenhua Liu
Laboratory Phone(847) 234-1100
Laboratory LocationNorth Shore Urogynecology, Ltd351 S Greenleaf St, Suite E, Park City, IL 60085
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
351 GREENLEAF AVE, SUITE A
PARK CITY, IL 60085
Obstetrics & Gynecology
351 GREENLEAF AVE, STE A
PARK CITY, IL 60085

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is North Shore Urogynecology Ltd's NPI number?

The NPI number for North Shore Urogynecology Ltd is 1013021922. It was assigned to this organization in the NPPES registry on August 18, 2006.

Where is North Shore Urogynecology Ltd located?

North Shore Urogynecology Ltd is located at 351 Greenleaf Ave E, Park City, IL 60085. The listed phone number is (847) 234-1100.

What is North Shore Urogynecology Ltd's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Does North Shore Urogynecology Ltd hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 14D1056847) is associated with this NPI, valid through October 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for North Shore Urogynecology Ltd was last updated on December 18, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.