Midwest Urology-Evergreen Park – Urology Physician, NPI 1306987896

Midwest Urology-Evergreen Park is a healthcare provider. based in Chicago ridge, Illinois. specializing in Urology Physician. The NPI Number for Midwest Urology-Evergreen Park is 1306987896

Main info

Organization
Name
Midwest Urology-Evergreen Park
NPI
1306987896
Phone
(708) 581-7308
Address
10400 SOUTHEST HIGHWAY
Authorized Official
ELIZA ROQUE DIRECTOR
Enumeration Date
9 February 2007
Last Update Date
18 March 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness80
Years active:19State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Midwest Urology-Evergreen Park

  • 10400 SOUTHEST HIGHWAY

    LOWER LEVEL

    CHICAGO RIDGE, IL 60415

    Phone: (708) 581-7308

    Type: Mailing

  • 2850, West 95th Street, Evergreen Park, Worth Township, Cook County, Illinois, 60805, United States

    EVERGREEN PARK, IL 608052735

    Phone: (708) 422-2242

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60415)

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Frequently asked questions

Is there an official ID for Midwest Urology-Evergreen Park in U.S. healthcare records?
The official identifier for Midwest Urology-Evergreen Park is NPI 1306987896.
Is there an active status for Midwest Urology-Evergreen Park?
For scheduling context, Midwest Urology-Evergreen Park is shown as active in the registry.
What clinical focus is listed for Midwest Urology-Evergreen Park?
At a glance, Midwest Urology-Evergreen Park is tied to Urology Physician. Clinical services aligned with this taxonomy classification.
Where in Illinois is Midwest Urology-Evergreen Park registered?
Use Chicago Ridge, Illinois as the headline location for Midwest Urology-Evergreen Park here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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