Physician Compare National (NPI:1740570696)

HEALTHCARE PROVIDER: VLADIMIR URBIN M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1740570696
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4981918687
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20150807013944
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	URBIN
	Individual professional last name
Provider First Name	VLADIMIR
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2011
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	PERIPHERAL VASCULAR DISEASE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	PERIPHERAL VASCULAR DISEASE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	9631 GROSS POINT RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 107
	Group Practice or individual's line 2 address
City	SKOKIE
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	600761264
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y