MIDWEST UROLOGY-EVERGREEN PARK
NPI 1306987896
Urology in Evergreen Park, IL

Active since February 09, 2007CLIA 14D0418728 · Waiver
2850 W 95TH ST, EVERGREEN PARK, IL 60805(708) 422-2242 Get Directions Write a Review

NPPES record last updated: March 18, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Midwest Urology-evergreen Park NPPES

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

MIDWEST UROLOGY-EVERGREEN PARK (NPI 1306987896) is a healthcare organization registered as an urology in Evergreen Park, Illinois and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through August 20, 2027 and lists Eliza Roque, Director, as its authorized official.

NPPES Registry Identity

NPI1306987896
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameASSOCIATED UROLOGICAL SPECIALISTS LLC
Location Address2850 W 95TH STEvergreen Park, IL 60805-2735
Mailing Address10400 Southest Highway, Lower LevelChicago Ridge, IL 60415 · (708) 581-7308
Organization SubpartNo
Authorized OfficialEliza RoqueDirector · (708) 608-2195
Enumeration DateFebruary 9, 2007
Last NPPES UpdateMarch 18, 2020
NPPES CertifiedMarch 18, 2020
NPI 1306987896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition

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.

2850 W 95TH ST, Evergreen Park, IL 60805

Other Names 1

Other NameMidwest Urology-evergreen Park

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 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 Waiver 14D0418728

Associated Urological Specialists Ll · Evergreen Park, IL
Active · expires Aug 20, 2027
CLIA Number14D0418728
Laboratory TypePhysician Office
Certificate Effective DateAugust 21, 2025
Certificate Expiration DateAugust 20, 2027
Laboratory DirectorAaron Berger
Laboratory Phone(708) 422-2242
Laboratory LocationAssociated Urological Specialists Ll2850 W 95th St Ste 106, Evergreen Park, IL 60805
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

Registered Nurse (Registered Nurse First Assistant)
2850 W 95TH ST
EVERGREEN PARK, IL 60805
Internal Medicine (Gastroenterology)
2850 W 95TH ST, SUITE 11
EVERGREEN PARK, IL 60805
Internal Medicine (Hematology & Oncology)
2850 W 95TH ST, 203
EVERGREEN PARK, IL 60805
Internal Medicine
2850 W 95TH ST, SUITE 301
EVERGREEN PARK, IL 60805
Orthopaedic Surgery
2850 W 95TH ST, SUITE 406
EVERGREEN PARK, IL 60805
Internal Medicine
2850 W 95TH ST, 304
EVERGREEN PARK, IL 60805
Surgery
2850 W 95TH ST
EVERGREEN PARK, IL 60805
Nurse Practitioner (Family)
2850 W 95TH ST
EVERGREEN PARK, IL 60805

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 Associated Urological Specialists LLC's NPI number?

The NPI number for Associated Urological Specialists LLC is 1306987896. It was assigned to this organization in the NPPES registry on February 9, 2007. The provider is also known as Midwest Urology-Evergreen Park.

Where is Associated Urological Specialists LLC located?

Associated Urological Specialists LLC is located at 2850 W 95th St, Evergreen Park, IL 60805. The listed phone number is (708) 422-2242.

What is Associated Urological Specialists LLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Does Associated Urological Specialists LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0418728) is associated with this NPI, valid through August 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Associated Urological Specialists LLC was last updated on March 18, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.