# UNITED SHOCKWAVE SERVICES, LTD.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** UNITED SHOCKWAVE SERVICES, LTD
- **Other names:** UNITED THERAPIES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1336526219
- **Legal business name:** UNITED SHOCKWAVE SERVICES, LTD
- **Authorized official:** MR. JEFFREY NORRIS MD (PRESIDENT)
- **Authorized official phone:** (847) 544-5853

## Contact information

- **Practice address:** 120 N LA GRANGE RD, LA GRANGE, IL 60525-2040
- **Practice address phone:** (708) 352-6666
- **Mailing address:** PO BOX 95439, GRAPEVINE, TX 76099-9735
- **Mailing address phone:** (877) 465-4845
- **Mailing address fax:** (847) 297-8853

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 7003190 | IL | Yes |
| 261QL0400X | Lithotripsy Clinic/Center | 7003190 | IL | — |

## Other

- **Enumeration date:** 04/30/2015
- **Last updated:** 09/23/2021