Individual
MARK ALAN UBBENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(888) 824-0200
Mailing address
150 HARVESTER DR STE 300, BURR RIDGE, IL 60527-5965
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209030092
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
UB470063
MEDICARE
PA
Enumeration date
12/07/2015
Last updated
10/15/2024
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