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Organization
TATIYANA URBIN, D.C. LTD
Active
Organization
TATIYANA URBIN, D.C. LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TATIYANA M URBIN D.C. (PRESEDENT)
(224) 659-1658
Entity
Organization
Contact information
Practice address
222 WAUKEGAN RD, GLENVIEW, IL 60025-5159
(847) 657-1600
(847) 657-1601
Mailing address
9801 GROSS POINT RD, STE.203, SKOKIE, IL 60076-1173
(224) 659-1658
(847) 677-4717
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
038009006
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01625853
BLUE CROSS BLUE SHIELD
IL
05
—
038009006
—
IL
Enumeration date
08/30/2009
Last updated
08/30/2009
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