Active NPI
Tatiyana M Urbin, DC
- Chiropractor
- Skokie, IL
National Provider Identifier
1184665028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038009006
- Practice address
- 9631 Gross Point Rd
Suite 107
Skokie, IL 60076-1264 - Phone
- (847) 677-4717
- Fax
- (847) 677-4717
- NPI assigned
- Jun 10, 2006
- Last updated
- Jul 22, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038009006 | IL | Primary |
Addresses
Primary practice location
9631 Gross Point Rd
Suite 107
Skokie, IL 60076-1264
Mailing address
9801 Gross Point Rd
Suite 203
Skokie, IL 60076-1173
Phone (847) 677-4717
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8168454 | Other | CIGNA | |
| 01625853 | Other | BCBS | |
| 038009006 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9631 Gross Point Rd
Suite 107
Skokie, IL 60076-1264
Phone (224) 534-7167
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Wound Center, LTD | Current | Accepting new patients | |
| Integrative Wellness Clinic LTD. | Current | Accepting new patients | |
| The Chicago Lighthouse for People Who Are Blind Or Visually Impaired | Past | Accepting new patients |
Locations
9631 Gross Point Rd
Ste 107
Skokie, IL 60076
Phone (224) 534-7167
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Skokie, IL
- NPI 1225332703
-
- Medical Specialty Clinic/Center
- Skokie, IL
- NPI 1023550811
-
dba The Chicago Lighthouse
- Low Vision Rehabilitation Optometrist
- Chicago, IL
- NPI 1043326309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279756800000",
"number": "1184665028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9801 GROSS POINT RD",
"address_2": "SUITE 203",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600761173",
"telephone_number": "847-677-4717",
"fax_number": "847-677-4717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9631 GROSS POINT RD",
"address_2": "SUITE 107",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600761264",
"telephone_number": "847-677-4717",
"fax_number": "847-677-4717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URBIN",
"first_name": "TATIYANA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-10",
"last_updated": "2010-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038009006",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "8168454",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "01625853",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "038009006",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.