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NPI Code Detail

MEDICARE: RICHARD URGO M.D.

MEDICARE: RICHARD URGO M.D.
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
1207P00000XEmergency Medicine PhysicianIL

General Provider Information

NPI Number : 1881619286
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD URGO M.D.
Provider Business Mailing Address
First Line : 75 REMITT DRIVE
Second Line : LOCKBOX 1351
City : CHICAGO
State : IL
Zip : 60675-1351
Country : US
Telephone Number : 866-916-5259
Fax Number : 231-922-4030
Provider Business Practice Location Address
First Line : 850 W IRVING PARK RD
Second Line :
City : CHICAGO
State : IL
Zip : 60613-3077
Country : US
Telephone Number : 773-525-6780
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2006
Last Update Date : 02/08/2008

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