Healthcare Provider Details

I. General information

NPI: 1851606891
Provider Name (Legal Business Name): URBAN HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2010
Last Update Date: 04/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 S MILWAUKEE AVE STE D
WHEELING IL
60090-5006
US

IV. Provider business mailing address

224 S MILWAUKEE AVE STE D
WHEELING IL
60090-5006
US

V. Phone/Fax

Practice location:
  • Phone: 312-292-6397
  • Fax: 312-624-7981
Mailing address:
  • Phone: 312-292-6397
  • Fax: 630-206-0689

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number1011312
License Number StateIL

VIII. Authorized Official

Name: MS. JANE ZABAT
Title or Position: ADMINISTRATOR
Credential:
Phone: 312-292-6397