MEDICARE: CENTER FOR STUDY GU DISEASES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	04532219	OTHER	IL	BCBS ID

General Provider Information

NPI Number	:	1689872459
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTER FOR STUDY GU DISEASES

Provider Business Mailing Address
First Line	:	4525 FOREST VIEW AVE
Second Line	:
City	:	ROCKFORD
State	:	IL
Zip	:	61108-6406
Country	:	US
Telephone Number	:	815-965-8505
Fax Number	:

Provider Business Practice Location Address
First Line	:	650 SPRING HILL RING RD STE 2000
Second Line	:
City	:	WEST DUNDEE
State	:	IL
Zip	:	60118-1297
Country	:	US
Telephone Number	:	847-836-8270
Fax Number	:

Authorized Official
Title or Position	:	BILLING AGENT
Name	:	PETER E SMITH
Credential	:
Telephone Number	:	815-965-8505

Provider Enumeration Date	:	07/03/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1437106812 — 7 HILLS NUCLEAR IMAGING CENTER INC
Practice Location Address:

650 SPRING HILL RING RD STE 2000
WEST DUNDEE, IL
60118-1297

Practice Phone: 847-428-2273
Practice Fax: 847-428-3128

1295933067 — ALL CARE MEDICAL CENTER
Practice Location Address:

650 SPRING HILL RING RD STE 2000
WEST DUNDEE, IL
60118-1297

Practice Phone: 847-428-2273
Practice Fax:

1629366489 — DR. CRAIG ANTHONY STEAR JR. D.C.
Practice Location Address:

650 SPRING HILL RING RD STE 2005
WEST DUNDEE, IL
60118-1297

Practice Phone: 224-484-8426
Practice Fax:

1356629604 — ADVANCED PREVENTATIVE CARDIOLOGY INC
Practice Location Address:

650 SPRING HILL RING ROAD , STE 2000
WEST DUNDEE, IL
60118-1297

Practice Phone: 847-654-1281
Practice Fax: 888-396-4184

1518339464 — CHIROPRACTIC FAMILY HEALTH CLINIC WD LLC
Practice Location Address:

650 SPRING HILL RING RD , SUITE 2005
WEST DUNDEE, IL
60118-1297

Practice Phone: 847-844-7900
Practice Fax:

Directions to “CENTER FOR STUDY GU DISEASES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.