Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prime Urology Ltd

Organization Medical Specialty Clinic/Center · NPI 1649702721

Prime Urology Ltd is a Medical Specialty Clinic/Center in Lockport, Illinois. Licensed in Illinois. Registered with an NPI since 2017.

Licensed in
IL
In the registry since
2017
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

300 Read St Ste A
Lockport, IL 60441-3265
Phone: (815) 741-1020
Fax: (815) 221-4175
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X · Licence 036049705 (IL)

Record details

NPI number1649702721
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ernersto Tan — President · (815) 741-1020
NPI enumeratedMarch 29, 2017
Last updated in NPPESMarch 29, 2017
Mailing address300 Read St, Ste A, Lockport, IL 60441-3265