Dr. Robert S H Lai , MD
Urology • Algonquin, IL
1465 Commerce Dr
Algonquin, IL 601025916
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on July 28, 2006; this date does not establish years in practice.
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Published CMS data list 2,096 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99213 — Established patient outpatient office visit: 237 service units.
- 51798 — Ultrasound measurement of bladder capacity after voiding: 204 service units.
- 81003 — Automated urinalysis test: 204 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 25 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 911 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Tamsulosin Hcl — 228 prescription fills, including refills.
- Sulfamethoxazole-Trimethoprim (Sulfamethoxazole/Trimethoprim) — 140 prescription fills, including refills.
- Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) — 107 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 16 records in the table · Guide: How to read Medicare Part D prescriber data
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Close to the middle for Medicare Part B services among clinicians listed under Urology in Illinois (2024, 313 clinicians with data). Median for this group: 1,869. Middle half: 703 to 4,858.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 1,698 in 2020 to 2,096 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
1465 Commerce Dr
Algonquin, IL 601025916
NPPES lists 1 additional practice-address record in Mchenry, IL. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 2 distinct group names: Carle Health Care Incorporated; Methodist Medical Center Of Illinois. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
1992
What Public CMS Data Show
Urology: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
446 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $175,790 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $137,675 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
1,338 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$72,943 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $2,965.99 across 62 records.
By nature of payment
- Food and Beverage: $1,793.22 across 59 records.
- Travel and Lodging: $1,144.71 across 2 records.
- Education: $28.06 across 1 record.
Reporting-company totals (3 largest of 12)
- Teleflex LLC: $1,758.07 across 8 records.
- Boston Scientific Corporation: $467.89 across 12 records.
- Medtronic, Inc.: $265.94 across 18 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
34 years (graduated 1992)
CMS Doctors and Clinicians data list 1992 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Lai has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Lai as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Algonquin and Illinois
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Close to the middle for clinicians listed under Urology in Illinois (2024, 313 clinicians with data). Median for this group: 1,869. Middle half: 703 to 4,858.
Too few clinicians listed under Urology in Algonquin have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
Close to the middle for clinicians listed under Urology in Illinois (2024, 313 clinicians with data). Median for this group: $150,002. Middle half: $69,734 to $268,150.
Too few clinicians listed under Urology in Algonquin have Medicare Part B data for 2024 to compare.
Paid by Medicare
Close to the middle for clinicians listed under Urology in Illinois (2024, 313 clinicians with data). Median for this group: $113,671. Middle half: $51,216 to $199,881.
Too few clinicians listed under Urology in Algonquin have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Urology in Illinois (2024, 381 clinicians with data). Median for this group: 813. Middle half: 123 to 1,932.
Too few clinicians listed under Urology in Algonquin have Medicare Part D data for 2024 to compare.
Part D drug cost
Close to the middle for clinicians listed under Urology in Illinois (2024, 381 clinicians with data). Median for this group: $79,867. Middle half: $8,053 to $301,934.
Too few clinicians listed under Urology in Algonquin have Medicare Part D data for 2024 to compare.
2 active clinicians are listed under Urology with a practice address in Algonquin, IL (629 in Illinois).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 23% from 1,698 in 2020 to 2,096 in 2024.
- 2020: 1,698
- 2021: 861
- 2022: 1,540
- 2023: 2,281
- 2024: 2,096
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Medicare-allowed amount
Medicare-allowed amount increased 37% from $127,954 in 2020 to $175,790 in 2024.
- 2020: $127,954
- 2021: $56,922
- 2022: $98,543
- 2023: $144,884
- 2024: $175,790
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Paid by Medicare
Paid by Medicare increased 43% from $96,269 in 2020 to $137,675 in 2024.
- 2020: $96,269
- 2021: $40,917
- 2022: $72,179
- 2023: $110,751
- 2024: $137,675
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 76% from 518 in 2020 to 911 in 2024.
- 2020: 518
- 2021: 389
- 2022: 656
- 2023: 553
- 2024: 911
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30-day fills
30-day fills increased 88% from 712 in 2020 to 1,338 in 2024.
- 2020: 712
- 2021: 649
- 2022: 1,200
- 2023: 767
- 2024: 1,338
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Part D drug cost
Part D drug cost increased 147% from $29,564 in 2020 to $72,943 in 2024.
- 2020: $29,564
- 2021: $42,848
- 2022: $80,852
- 2023: $34,877
- 2024: $72,943
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $194.09 in 2021 to $2,965.99 in 2025.
- 2021: $194.09
- 2022: $1,508.06
- 2023: $4,158.59
- 2024: $1,333.67
- 2025: $2,965.99
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): 62 records totaling $2,965.99.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Teleflex LLC |
Travel and Lodging
In-kind items and services
|
BARRIGEL | General | $692.53 |
| Teleflex LLC |
Travel and Lodging
In-kind items and services
|
UROLIFT | General | $452.18 |
| Teleflex LLC |
Food and Beverage
In-kind items and services
|
BARRIGEL | General | $392.09 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
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General - Therapies | General | $110.00 |
| Teleflex LLC |
Food and Beverage
In-kind items and services
|
BARRIGEL | General | $91.80 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
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INTERSTIM | General | $89.37 |
| Olympus America Inc. |
Food and Beverage
In-kind items and services
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iTIND System | General | $79.25 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
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Axonics | General | $78.81 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
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Axonics | General | $70.43 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
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Axonics | General | $65.90 |
| Teleflex LLC |
Food and Beverage
In-kind items and services
|
UROLIFT | General | $58.52 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
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Axonics | General | $51.47 |
| Teleflex LLC |
Food and Beverage
In-kind items and services
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UROLIFT | General | $37.29 |
| Olympus America Inc. |
Food and Beverage
In-kind items and services
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iTIND System | General | $33.11 |
| Medtronic, Inc. |
Education
In-kind items and services
|
INTERSTIM | General | $28.06 |
| PROGENICS PHARMACEUTICALS, INC. |
Food and Beverage
In-kind items and services
|
PYLARIFY | General | $27.75 |
| PROGENICS PHARMACEUTICALS, INC. |
Food and Beverage
In-kind items and services
|
PYLARIFY | General | $25.87 |
| Olympus America Inc. |
Food and Beverage
In-kind items and services
|
iTIND System | General | $25.20 |
| Olympus America Inc. |
Food and Beverage
In-kind items and services
|
iTIND System | General | $24.26 |
| ConvaTec Inc. |
Food and Beverage
In-kind items and services
|
— | General | $23.97 |
| Merck Sharp & Dohme LLC |
Food and Beverage
In-kind items and services
|
KEYTRUDA | General | $23.40 |
| Laborie Medical Technologies Corp. |
Food and Beverage
Cash or cash equivalent
|
Optilume BPH Drug Coated Balloon Catheter | General | $23.24 |
| Sumitomo Pharma America, Inc. |
Food and Beverage
In-kind items and services
|
ORGOVYX | General | $22.60 |
| Sumitomo Pharma America, Inc. |
Food and Beverage
In-kind items and services
|
ORGOVYX | General | $22.52 |
| Bayer Healthcare Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
|
Nubeqa | General | $22.06 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
237 | 186 | $185.00 | $85.98 |
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51798
Ultrasound measurement of bladder capacity after voiding
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204 | 141 | $52.00 | $10.29 |
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81003
Automated urinalysis test
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204 | 141 | $7.00 | $2.20 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
170 | 149 | $260.00 | $122.36 |
|
52442
Insertion of implant in urethra within prostate gland using an endoscope, each additional implant
|
160 | 34 | $2920.00 | $49.13 |
|
52000
Diagnostic exam of bladder and urethra using an endoscope
|
159 | 147 | $630.00 | $209.88 |
|
J0696
Injection, ceftriaxone sodium, per 250 mg
|
156 | 39 | $50.70 | $0.45 |
|
96372
Injection of drug or substance under skin or into muscle
|
109 | 51 | $61.00 | $13.47 |
|
J1580
Injection, garamycin, gentamicin, up to 80 mg
|
100 | 36 | $32.19 | $2.50 |
|
51702
Simple insertion of temporary bladder tube
|
85 | 32 | $185.00 | $57.75 |
|
76872
Ultrasound scan of pelvic region through rectum
|
84 | 83 | $485.00 | $126.28 |
|
51720
Instillation of anti-cancer drug into bladder
|
63 | 12 | $265.00 | $82.90 |
|
51700
Simple bladder irrigation and/or instillation
|
53 | 44 | $225.00 | $71.44 |
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55700
Biopsy of prostate gland
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50 | 50 | $750.00 | $227.14 |
|
52441
Insertion of implant in urethra within prostate gland using an endoscope, 1 implant
|
38 | 38 | $4010.00 | $186.38 |
|
52356
Crushing of stone of ureter with insertion of stent using an endoscope
|
33 | 28 | $1435.15 | $414.59 |
|
52332
Insertion of stent in ureter using an endoscope
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32 | 28 | $1560.94 | $129.83 |
|
76942
Ultrasonic guidance for needle placement
|
31 | 31 | $150.00 | $54.29 |
|
74420
Imaging of urinary tract following injection of a contrast agent
|
27 | 26 | $61.00 | $23.21 |
|
52310
Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope
|
24 | 21 | $870.00 | $298.82 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
22 | 22 | $397.95 | $155.96 |
|
52601
Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope
|
16 | 16 | $2230.00 | $711.80 |
|
55876
Placement of device in prostate for radiation therapy
|
16 | 16 | $440.00 | $61.96 |
|
52204
Biopsy of bladder using an endoscope
|
12 | 11 | $1150.00 | $112.93 |
|
55874
Injection of biodegradable material next to prostate
|
11 | 11 | $9000.00 | $145.02 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Tamsulosin Hcl | Tamsulosin Hcl | 228 | 14,623 | $3,197.31 | 97 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 140 | 869 | $343.63 | 114 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 107 | 543 | $574.42 | 92 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 82 | 867 | $435.68 | 63 |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 54 | 460 | $713.52 | 37 |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 53 | 2,042 | $465.84 | 34 |
| Amoxicillin | Amoxicillin | 48 | 537 | $151.70 | 37 |
| Finasteride | Finasteride | 48 | 4,200 | $640.97 | 22 |
| Myrbetriq | Mirabegron | 44 | 1,967 | $29,288.99 | 14 |
| Acetaminophen-Codeine | Acetaminophen With Codeine | 25 | 109 | $123.04 | 22 |
| Fluconazole | Fluconazole | 18 | 86 | $134.31 | 13 |
| Levofloxacin | Levofloxacin | 14 | 113 | $21.27 | 12 |
| Gemtesa | Vibegron | 14 | 420 | $6,782.44 | — |
| Dutasteride | Dutasteride | 13 | 990 | $244.53 | — |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 12 | 91 | $120.12 | — |
| Orgovyx | Relugolix | 11 | 330 | $29,704.81 | — |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2022-05-16NUCC Taxonomy Code: 208800000X
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - UROLOGY
I20170308000705
AR
7911906110
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Carle Health Care Incorporated
221 Ne Glen Oak Ave, Peoria, IL 616360001
Methodist Medical Center Of Illinois
5409 N Knoxville Ave, Peoria, IL 616145069
Phone: 3096829898
Carle Health Care Incorporated
5409 N Knoxville Ave, Peoria, IL 616145069
Phone: 3096911000
Carle Health Care Incorporated
611 W Park St, Urbana, IL 618012501
Phone: 8887122753
Methodist Medical Center Of Illinois
5401 N Knoxville Ave, Peoria, IL 616145021
Phone: 3096896093
Methodist Medical Center Of Illinois
815 Main St, Peoria, IL 616021080
Phone: 3096724977
Carle Health Care Incorporated
600 S 13th St, Pekin, IL 615544936
Methodist Medical Center Of Illinois
600 S 13th St, Pekin, IL 615544936
Phone: 3093530825
Carle Health Care Incorporated
5401 N Knoxville Ave, Peoria, IL 616145021
Carle Health Care Incorporated
611 W Park St, Urbana, IL 618012501
Methodist Medical Center Of Illinois
600 S 13th St, Pekin, IL 615544936
Phone: 3096724522
Methodist Medical Center Of Illinois
221 Ne Glen Oak Ave, Peoria, IL 616360001
Methodist Medical Center Of Illinois
815 Main St, Peoria, IL 616021076
Phone: 3096724977
Methodist Medical Center Of Illinois
221 Ne Glen Oak, Peoria, IL 616360001
Phone: 3096725522
Carle Health Care Incorporated
5409 N Knoxville Ave, Peoria, IL 616145069
Phone: 3096829898
Secondary Practice Locations
2507 N Richmond Rd Ste A
Mchenry, IL 600515407
Phone: 8478027090
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Urology
Doctor of Medicine (M.D.)
Urology
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant (Certified)
Urology
Doctor of Osteopathic Medicine (D.O.)
Urology
Doctor of Medicine (M.D.)
Urology
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 1465 COMMERCE DR, ALGONQUIN, IL 601025916 (Tel: 8478027090)
Registered at 1465 COMMERCE DR, ALGONQUIN, IL 601025916 (Tel: 8478027090)
Registered at 1910 MALVERN AVE, HOT SPRINGS, AR 719017752 (Tel: 5013211000)
NPI status registered as active in NPPES database
Registered at 675 W NORTH AVE STE 605, MELROSE PARK, IL 601601627 (Tel: 7084505055)
Registered at 675 W NORTH AVE STE 605, MELROSE PARK, IL 601601627 (Tel: 7084505055)
Recorded as ROBERT LAI, M.D.
Urology (license number reported to NPPES: IL 036 116997)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
1465 Commerce Dr
Algonquin, IL 601025916
Phone: 8478027090