Urban Healthcare Inc

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

036.124097 Issued in IL

Legal business name

URBAN HEALTHCARE INC

Practice address

1753 W Chicago Ave
Suite 1
Chicago, IL 60622-5009

Phone

(773) 672-2553

Fax

(773) 672-2559

NPI assigned

Aug 22, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Khushal Patl, MD

Title

Owner

Phone

(773) 672-2553

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1408665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408665600000",
    "number": "1144629460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1753 W CHICAGO AVE",
            "address_2": "SUITE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606225009",
            "telephone_number": "773-672-2553",
            "fax_number": "773-672-2559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1753 W CHICAGO AVE",
            "address_2": "SUITE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606225009",
            "telephone_number": "773-672-2553",
            "fax_number": "773-672-2559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBAN HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-22",
        "last_updated": "2014-08-22",
        "status": "A",
        "authorized_official_last_name": "PATL",
        "authorized_official_first_name": "KHUSHAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-672-2553",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "IL",
            "license": "036.124097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Urban Balance LLC
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• Urban Care Chiropractic, LLC
• Urban Eyecare, Inc.
• Urban Family Health Center Inc
• Urban Male Network
• Urban Medical Transport Inc
• Urban Milestones Pediatric Therapy
• Urban Physical Therapy LLC
• Urban R.O.O.T.S. Alliance, NFP

• Vascular Surgery Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Vascular Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.