Healthcare Provider Details

I. General information

NPI: 1437004090
Provider Name (Legal Business Name): ULTIMATE BILLING SERVICE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2026
Last Update Date: 02/27/2026
Certification Date: 02/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 N LINCOLN AVE
PARK RIDGE IL
60068-3141
US

IV. Provider business mailing address

500 N LINCOLN AVE
PARK RIDGE IL
60068-3141
US

V. Phone/Fax

Practice location:
  • Phone: 847-692-6218
  • Fax: 847-692-5609
Mailing address:
  • Phone: 847-692-6218
  • Fax: 847-692-5609

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: GABRIELA UGALDE-LIZON
Title or Position: CEO
Credential:
Phone: 847-692-6218