Provider Demographics
NPI:1114502994
Name:URLACARE, INC.
Entity Type:Organization
Organization Name:URLACARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONSULTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:J
Authorized Official - Last Name:LIND
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:224-587-6267
Mailing Address - Street 1:29741 N ENVIRON CIR
Mailing Address - Street 2:
Mailing Address - City:LAKE BLUFF
Mailing Address - State:IL
Mailing Address - Zip Code:60044-1171
Mailing Address - Country:US
Mailing Address - Phone:847-496-7782
Mailing Address - Fax:720-577-4518
Practice Address - Street 1:29741 N ENVIRON CIR
Practice Address - Street 2:
Practice Address - City:LAKE BLUFF
Practice Address - State:IL
Practice Address - Zip Code:60044-1171
Practice Address - Country:US
Practice Address - Phone:847-496-7782
Practice Address - Fax:720-577-4518
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-13
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy