Urban, Jacqueline Anne

Urban, Jacqueline Anne is an individual health care provider with primary practice located at 676 N Saint Clair St Ste 730 , Chicago IL 60611-2990. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Cardiovascular Disease is her primary health care specialty. Urban, Jacqueline Anne can be contacted via phone (312) 695-0070.

Contact Information

Primary practice address
676 N Saint Clair St Ste 730 Chicago IL 60611-2990
Phone: (312) 695-0070
Fax: (312) 926-0239
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036.163726 Illinois
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X TL.0008165 Colorado

Profile Details

NPI number 1144859406
LBN Legal business name Urban, Jacqueline Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2020
Last updated Apr 4th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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