Healthcare Provider Details

I. General information

NPI: 1295726115
Provider Name (Legal Business Name): UROPARTNERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2005
Last Update Date: 06/24/2025
Certification Date: 06/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1660 FEEHANVILLE DR STE 200
MOUNT PROSPECT IL
60056
US

IV. Provider business mailing address

1660 FEEHANVILLE DR STE 200
MOUNT PROSPECT IL
60056-6036
US

V. Phone/Fax

Practice location:
  • Phone: 847-823-3185
  • Fax: 847-823-3318
Mailing address:
  • Phone: 847-823-3185
  • Fax: 847-823-3318

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MR. RICHARD HARRIS
Title or Position: MANAGING PARTNER
Credential: MD
Phone: 708-450-5055