Individual
MARTIN A. URBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3871 N PERRYVILLE RD, ROCKFORD, IL 61114-8080
(815) 397-5554
(815) 550-0061
Mailing address
3871 N PERRYVILLE RD, ROCKFORD, IL 61114-8080
(815) 397-5554
(815) 550-0061
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
36-070380
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036070380
—
IL
Enumeration date
05/26/2006
Last updated
10/28/2022
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