Healthcare Provider Details

I. General information

NPI: 1114502994
Provider Name (Legal Business Name): URLACARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2021
Last Update Date: 03/30/2021
Certification Date: 03/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29741 N ENVIRON CIR
LAKE BLUFF IL
60044-1171
US

IV. Provider business mailing address

29741 N ENVIRON CIR
LAKE BLUFF IL
60044-1171
US

V. Phone/Fax

Practice location:
  • Phone: 847-496-7782
  • Fax: 720-577-4518
Mailing address:
  • Phone: 847-496-7782
  • Fax: 720-577-4518

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. KIMBERLY J LIND
Title or Position: CONSULTANT
Credential: PT
Phone: 224-587-6267