Individual
MS. JENNA RAE URBANIAK I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1921 W IRVING PARK RD, CHICAGO, IL 60613-2407
(773) 687-9442
(888) 733-1772
Mailing address
1921 W IRVING PARK RD, CHICAGO, IL 60613-2407
(773) 687-9442
(888) 733-1772
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
070023822
IL
Other
Enumeration date
08/18/2018
Last updated
08/18/2018
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