NPIMap

Organization Active NPI

Tatiyana Urbin, D.C. LTD

  • Medical Specialty Clinic/Center
  • Glenview, IL
National Provider Identifier
1750514378
Registry record updated Aug 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
038009006 Issued in IL
Legal business name
TATIYANA URBIN, D.C. LTD
Practice address
222 Waukegan Rd
Glenview, IL 60025-5159
Phone
(847) 657-1600
Fax
(847) 657-1601
NPI assigned
Aug 30, 2009
Last updated
Aug 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2009

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

Authorized official

Name
Dr. Tatiyana M Urbin, D.C.
Title
Presedent
Phone
(224) 659-1658

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 038009006 IL Primary

Addresses

Primary practice location

222 Waukegan Rd
Glenview, IL 60025-5159

Mailing address

9801 Gross Point Rd
Ste.203
Skokie, IL 60076-1173
Phone (224) 659-1658

Other identifiers 2

IdentifierTypeStateIssuer
038009006MedicaidIL
01625853OtherILBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1251590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251590400000",
    "number": "1750514378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9801 GROSS POINT RD",
            "address_2": "STE.203",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761173",
            "telephone_number": "224-659-1658",
            "fax_number": "847-677-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 WAUKEGAN RD",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600255159",
            "telephone_number": "847-657-1600",
            "fax_number": "847-657-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TATIYANA URBIN, D.C. LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-30",
        "last_updated": "2009-08-30",
        "status": "A",
        "authorized_official_last_name": "URBIN",
        "authorized_official_first_name": "TATIYANA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESEDENT",
        "authorized_official_telephone_number": "224-659-1658",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": "038009006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038009006",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01625853",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2009; 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.