Individual
MRS. MICHELLE MARIE URBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2211 N OAK PARK AVE, CHICAGO, IL 60707-3351
(773) 385-5574
(773) 385-5851
Mailing address
631 NEWCASTLE AVE, WESTCHESTER, IL 60154-2630
(708) 297-5926
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
070007070
IL
Other
Enumeration date
06/12/2007
Last updated
07/08/2007
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