Conrad J Urban, MD, SC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

CONRAD J URBAN, MD, SC

Practice address

567 Aberdeen Rd
Frankfort, IL 60423-7784

Phone

(815) 469-8722

Fax

(708) 687-1350

NPI assigned

Jul 21, 2006

Organization subpart

No

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

Authorized official

Name

Conrad J Urban, MD

Title

President

Phone

(815) 469-8722

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811918576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 ABERDEEN RD",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604237784",
            "telephone_number": "815-469-8722",
            "fax_number": "708-687-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 ABERDEEN RD",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604237784",
            "telephone_number": "815-469-8722",
            "fax_number": "708-687-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONRAD J URBAN, MD, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "URBAN",
        "authorized_official_first_name": "CONRAD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-469-8722",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OR THIN",
            "identifier": "21600164",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Frankfort, IL
• Providers in Frankfort, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.