Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 036105212 | IL |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 036105212 | IL |
NPI | 1285684308 |
---|---|
Provider Name | Dr. Leah R Urbanosky |
First Address | Hinsdale, IL 60521-3186 |
Second Address | Joliet, IL 60435-8427 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2006 |
Last Update Date | 30/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036105212 | (05) | IL |
G7936 | (02) |