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General NPI Number Information
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NPI Number | 1811918576
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Entity Type | Organization
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Legal Business Name | CONRAD J URBAN, MD, SC
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 567 ABERDEEN RD
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City | FRANKFORT
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State | IL
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Zip | 60423-7784
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Country | US
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Telephone | 815-469-8722
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Fax | 708-687-1350
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Provider Business Mailing Address
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Address Line | 567 ABERDEEN RD
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City | FRANKFORT
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State | IL
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Zip | 60423-7784
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Country | US
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Telephone | 815-469-8722
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Fax | 708-687-1350
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Authorized Official
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Title or Position | PRESIDENT
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Name | CONRAD J URBAN
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Credential | MD
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Telephone | 815-469-8722
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State | IL
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