Individual
DR. GEORGE WILLIAM URBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
170 NORTH LAKEWOOD ROAD, LAKE IN THE HILLS, IL 60156-5945
(224) 569-4000
(224) 569-4001
Mailing address
170 NORTH LAKEWOOD ROAD, LAKE IN THE HILLS, IL 60156-5945
(224) 569-4000
(877) 686-5642
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036086784
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036086784
—
IL
01
—
962341112
MEDICARE PTAN
IL
01
—
F400258997
MEDICARE PTAN
IL
Enumeration date
08/31/2005
Last updated
08/31/2022
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