Organization
CONRAD J URBAN, MD, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONRAD J URBAN MD (PRESIDENT)
(815) 469-8722
Entity
Organization
Contact information
Practice address
567 ABERDEEN RD, FRANKFORT, IL 60423-7784
(815) 469-8722
(708) 687-1350
Mailing address
567 ABERDEEN RD, FRANKFORT, IL 60423-7784
(815) 469-8722
(708) 687-1350
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21600164
BCBS OR THIN
IL
Enumeration date
07/21/2006
Last updated
08/22/2020
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