Illinois Urogynecology, Ltd.
NPI 1063421899 · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · Park Ridge, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Illinois Urogynecology, Ltd. is a Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician organization in Park Ridge, IL (NPI 1063421899).
Provider details
- NPI number
- 1063421899
- Entity type
- Organization
- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Moen, Pres(847) 825-1590
Specialties & taxonomies
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianPrimary207VF0040X
Allopathic & Osteopathic Physicians
- Gynecology Physician207VG0400X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-08
- Last updated
- 2018-08-09
Frequently asked questions
- What is Illinois Urogynecology, Ltd.'s NPI number?
- Illinois Urogynecology, Ltd.'s National Provider Identifier (NPI) is 1063421899, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Illinois Urogynecology, Ltd.?
- Illinois Urogynecology, Ltd. is classified in the NPPES registry as Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician (Allopathic & Osteopathic Physicians).
- Where is Illinois Urogynecology, Ltd. located?
- Illinois Urogynecology, Ltd.'s practice location on file with NPPES is 1875 Dempster St, Park Ridge, IL 60068-1186.
- What is Illinois Urogynecology, Ltd.'s phone number?
- The practice phone number listed in the NPPES registry for Illinois Urogynecology, Ltd. is (847) 825-1590.
- Does Illinois Urogynecology, Ltd. accept Medicare?
- Illinois Urogynecology, Ltd. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Illinois Urogynecology, Ltd.?
- The authorized official listed on Illinois Urogynecology, Ltd.'s NPPES record is Michael Moen, Pres. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Illinois Urogynecology, Ltd.'s NPI active?
- Yes — Illinois Urogynecology, Ltd.'s NPI (1063421899) is active in the NPPES registry as of the last update on 2018-08-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.