# TATIYANA URBIN, D.C. LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750514378
- **Authorized official:** DR. TATIYANA M URBIN D.C. (PRESEDENT)
- **Authorized official phone:** (224) 659-1658

## Contact information

- **Practice address:** 222 WAUKEGAN RD, GLENVIEW, IL 60025-5159
- **Practice address phone:** (847) 657-1600
- **Practice address fax:** (847) 657-1601
- **Mailing address:** 9801 GROSS POINT RD, STE.203, SKOKIE, IL 60076-1173
- **Mailing address phone:** (224) 659-1658
- **Mailing address fax:** (847) 677-4717

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 038009006 | IL | Yes |

## Other

- **Enumeration date:** 08/30/2009
- **Last updated:** 08/30/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 01625853 | BLUE CROSS BLUE SHIELD | IL |
| 05 | — | 038009006 | — | IL |