Individual provider Active NPI

Vladimir Urbin, M.D.

  • General Practice Physician
  • Skokie, IL
National Provider Identifier
1740570696
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
036.134524 Issued in IL
Practice address
9631 Gross Point Rd Ste 107
Skokie, IL 60076-1264
Phone
(224) 534-7167
Fax
(888) 869-5570
NPI assigned
Apr 12, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036.134524 IL
Student in an Organized Health Care Education/Training Program 390200000X IL
General Practice Physician 208D00000X 036.134524 IL Primary

Addresses

Primary practice location

9631 Gross Point Rd Ste 107
Skokie, IL 60076-1264

Mailing address

9631 Gross Point Rd Ste 107
Skokie, IL 60076-1264
Phone (224) 534-7167

Other practice location 1

3 Erie Ct
Oak Park, IL 60302-2519
Phone (708) 383-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150807013944 IL Practitioner - Family PracticePractitioner - Peripheral Vascular Disease 4981918687 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Peripheral Vascular Disease
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore Wound Center, LTDGroup PAC ID 7012299597, 2 clinicians

Practice addresses (Care Compare)

7257 N Lincoln Ave
Lincolnwood, IL 60712-1810
Phone (917) 275-5134

9631 Gross Point Rd
Suite 107
Skokie, IL 60076-1264
Phone (224) 534-7167

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue62
Removal of skin lesions39
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.134524ILMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
KND Development 59, LLC CurrentSince Apr 1, 2021 Accepting new patients
Vaccine Clinics SC General Practice CurrentSince Sep 11, 2023 Accepting new patients
Resilience Healthcare - Lakefront Medical Associates, LLC General Practice CurrentSince Aug 1, 2022 Accepting new patients
KND Development 59 LLC CurrentSince Apr 1, 2021 Accepting new patients
North Shore Wound Center, LTD CurrentSince Nov 15, 2016 Accepting new patients
Curepath Health Physician Partners PLLC Current Accepting new patients

Locations

4646 N Marine Dr
Chicago, IL 60640
Phone (773) 564-5102

2544 W Montrose Ave
Chicago, IL 60618
Phone (773) 267-2622

6130 N Sheridan Rd
Chicago, IL 60660
Phone (773) 381-1222

7257 N Lincoln Ave
Lincolnwood, IL 60712
Phone (847) 745-6212

6201 W Howard St
Niles, IL 60714
Phone (847) 774-7316

3 Erie Ct
Oak Park, IL 60302
Phone (708) 763-6200

9631 Gross Point Rd
Ste 107
Skokie, IL 60076
Phone (224) 534-7167

Interoperability endpoints

  • Direct secure messaging: vladimir.urbin.1@18552.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1740570696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9631 GROSS POINT RD STE 107",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761264",
            "telephone_number": "224-534-7167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9631 GROSS POINT RD STE 107",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761264",
            "telephone_number": "224-534-7167",
            "fax_number": "888-869-5570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Erie Ct",
            "address_purpose": "LOCATION",
            "city": "Oak Park",
            "state": "IL",
            "postal_code": "603022519",
            "country_code": "US",
            "telephone_number": "708-383-6200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "URBIN",
        "first_name": "VLADIMIR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-12",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.134524",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "036.134524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.