Active NPI
Brian Urban, AU.D.
- Audiologist
- Evanston, IL
National Provider Identifier
1811019110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 147-001164
- Practice address
- 636 Church St
Suite 307
Evanston, IL 60201-4508 - Phone
- (847) 869-9433
- NPI assigned
- Apr 6, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 147-001164 | IL | Primary |
Addresses
Primary practice location
636 Church St
Suite 307
Evanston, IL 60201-4508
Mailing address
636 Church St
Suite 307
Evanston, IL 60201-4508
Phone (847) 869-9433
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dunckley Audiology | Audiologist | Current | Accepting new patients |
| Advanced Hearing and Balance Center, LLC | Audiologist | Past | Accepting new patients |
Locations
1811 Benson Ave
Evanston, IL 60201
Phone (847) 453-3643
Organizations & group practices 2
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.
-
- Audiologist
- Evanston, IL
- NPI 1669607214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243382400000",
"number": "1811019110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "636 CHURCH ST",
"address_2": "SUITE 307",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602014508",
"telephone_number": "847-869-9433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "636 CHURCH ST",
"address_2": "SUITE 307",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602014508",
"telephone_number": "847-869-9433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URBAN",
"first_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-06",
"last_updated": "2009-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IL",
"license": "147-001164",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.