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NPI Code Detail

MEDICARE: ANDREINA URBINA FNP

MEDICARE: ANDREINA URBINA FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner209.029004IL

General Provider Information

NPI Number : 1285401091
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREINA URBINA FNP
Provider Business Mailing Address
First Line : 4007 W 63RD ST
Second Line :
City : CHICAGO
State : IL
Zip : 60629-4605
Country : US
Telephone Number : 773-767-2266
Fax Number : 866-493-3835
Provider Business Practice Location Address
First Line : 4007 W 63RD ST
Second Line :
City : CHICAGO
State : IL
Zip : 60629-4605
Country : US
Telephone Number : 773-767-2266
Fax Number : 866-493-3835
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2023
Last Update Date : 01/09/2026

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