Individual
MRS. AMY P URBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
17929 GOTTSCHALK AVE, HOMEWOOD, IL 60430-1709
(708) 206-6155
(708) 206-6159
Mailing address
1450 MONICA LN, NEW LENOX, IL 60451-3076
(708) 359-6141
(815) 280-0732
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056-005079
IL
Other
Enumeration date
12/20/2006
Last updated
01/11/2013
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