ILLINOIS UROGYNECOLOGY, LTD.
NPI 1063421899
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Park Ridge, IL
NPI Status: Active since August 08, 2006
Contact Information
1875 DEMPSTER ST
SUITE 665
PARK RIDGE, IL
ZIP 60068
Phone: (847) 825-1590
Fax: (847) 825-1604
- Organization
- Obstetrics & Gynecology
- Urogynecology and Reconstructive Pelvic ...
- CLIA Number: 14D1039338
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-11-2027
About ILLINOIS UROGYNECOLOGY, LTD.
This page provides the complete NPI Profile along with additional information for Illinois Urogynecology, Ltd., a women's health care provider established in Park Ridge, Illinois operating as a Obstetrics & Gynecology, focusing in urogynecology and reconstructive pelvic surgery . The healthcare provider is registered in the NPI registry with number 1063421899 assigned on August 2006. The practitioner's primary taxonomy code is 207VF0040X. The provider is registered as an organization and their NPI record was last updated 8 years ago. Illinois Urogynecology, Ltd. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Michael Moen Md (Pres)
- NPI
- 1063421899
- Provider Name
- ILLINOIS UROGYNECOLOGY, LTD.
- Entity Type
- Organization
- Location Address
- 1875 DEMPSTER ST SUITE 665 PARK RIDGE, IL 60068
- Location Phone
- (847) 825-1590
- Location Fax
- (847) 825-1604
- Mailing Address
- 1875 DEMPSTER ST SUITE 665 PARK RIDGE, IL 60068
- Mailing Phone
- (847) 825-1590
- Mailing Fax
- (847) 825-1604
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-08-2006
- Last Update Date
- 08-09-2018
- Code Navigator
Women's health care providers like Illinois Urogynecology, Ltd. treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Obstetrics & Gynecology Urogynecology and Reconstructive Pelvic Surgery
- Taxonomy Code
- 207VF0040X
- Type
- Allopathic & Osteopathic Physicians
- License State
- IL
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207VG0400X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | (IL) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D1039338
- Facility Type
- Physician Office
- Certificate Effective Date
- April 12, 2025
- Certificate Expiration Date
- April 11, 2027
- Laboratory Director
- MICHAEL D. MOEN, MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Illinois Urogynecology, Ltd. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1063421899, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
PARK RIDGE, IL 60068
PARK RIDGE, IL 60068
PARK RIDGE, IL 60068
PARK RIDGE, IL 60068
PARK RIDGE, IL 60068
PARK RIDGE, IL 60068
PARK RIDGE, IL 60068
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063421899, enumerated as an "organization" on August 08, 2006.
The provider is located at 1875 DEMPSTER ST SUITE 665 PARK RIDGE, IL 60068 and the phone number is (847) 825-1590.
Obstetrics & Gynecology with taxonomy code 207VF0040X and a focus in Urogynecology and Reconstructive Pelvic Surgery.
