George J Urban (NPI# 1639161524, PAC ID# 4880720515) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1639161524 |
| PAC ID by PECOS | 4880720515 |
| Professional Enrollment ID | I20100621000214 |
| Full Name | George J Urban |
| Organization Legal Name | DIAMOND HEADACHE CLINIC LTD |
| Address |
1460 N Halsted St Suite 501 Chicago IL 60642-2615 |
| Phone Number | 7733886390 |
| Gender | M |
| Graduation Year | 1974 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 4880658731 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140224 | PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO |
| 140242 | CENTRAL DUPAGE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1460 N Halsted St, Suite 501, Chicago, IL 60642-2615 | 7733886390 | DIAMOND HEADACHE CLINIC LTD |
| 2900 N Lake Shore Dr, Chicago, IL 60657-5640 | 7733886390 | DIAMOND HEADACHE CLINIC LTD |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_039_overall | Screening for Osteoporosis for Women Aged 65-85 Years of Age | 6% | |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 5% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 3% | |
| MIPS_EC_113_overall | Colorectal Cancer Screening | 59% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 18% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 97% |
| Organization Legal Name | DIAMOND HEADACHE CLINIC LTD |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexander Feoktistov | Internal Medicine | Diamond Headache Clinic Ltd | 1460 N Halsted St, Suite 501, Chicago, IL 60642-2615 |
| Bradley D Torphy | Family Medicine | Diamond Headache Clinic Ltd | 1460 N Halsted St, Suite 501, Chicago, IL 60642-2615 |
| Merle L Diamond | Internal Medicine | Diamond Headache Clinic Ltd | 1460 N Halsted St, Suite 501, Chicago, IL 60642-2615 |
| Street Address |
1460 N HALSTED ST SUITE 501 |
| City | CHICAGO |
| State | IL |
| Zip | 60642-2615 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexander Feoktistov | Internal Medicine | Diamond Headache Clinic Ltd | 1460 N Halsted St, Suite 501, Chicago, IL 60642-2615 |
| Bradley D Torphy | Family Medicine | Diamond Headache Clinic Ltd | 1460 N Halsted St, Suite 501, Chicago, IL 60642-2615 |
| Nancy Adela Zamora | Internal Medicine | Primary Care Medical Associates Ltd | 1460 N Halsted St, Suite 202, Chicago, IL 60642-2612 |
| Yana Dubinsky | Psychologist, Clinical | Primary Care Psychology Associates, LLC | 1460 N Halsted St, Suite 504, Chicago, IL 60642-2613 |
| Rachel Baskin | Obstetrics/gynecology | Advocate Health and Hospitals Corporation | 1460 N Halsted St, 401 Advocate Medical Group Halsted and Blackhawk, Chicago, IL 60642-2607 |
| Robert G Perlmuter | Internal Medicine | Primary Care Medical Associates Ltd | 1460 N Halsted St, Suite 202, Chicago, IL 60642-2612 |
| Mary Lynne Metz | Certified Clinical Nurse Specialist (cns) | Primary Care Medical Associates Ltd | 1460 N Halsted St, Suite 202, Chicago, IL 60642-2612 |
| Lawrence Iteld | Plastic and Reconstructive Surgery | 1460 N Halsted St, Suite 505, Chicago, IL 60642-2613 | |
| Moshe Dissen | Internal Medicine | Primary Care Medical Associates Ltd | 1460 N Halsted St, Suite 202, Chicago, IL 60642-2612 |
| Neda O Bahrani | Family Medicine | Advocate Health and Hospitals Corporation | 1460 N Halsted St, 401 Advocate Medical Group Halsted and Blackhawk, Chicago, IL 60642-2607 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria Cristina V Espera | Registered Dietitian Or Nutrition Professional | A D Medical Supply Inc | 1525 W Homer St, Suite 101, Chicago, IL 60642-1285 |
| Mamie G Finney | Registered Dietitian Or Nutrition Professional | A D Medical Supply Inc | 1525 W Homer St, Suite 101, Chicago, IL 60642-1285 |
| Alexandra Mikosz | Registered Dietitian Or Nutrition Professional | A D Medical Supply Inc | 1525 W Homer St, Suite 101, Chicago, IL 60642-1285 |
| Mary Ann Shannon | Registered Dietitian Or Nutrition Professional | A D Medical Supply Inc | 1525 W Homer St, Suite 101, Chicago, IL 60642-1285 |
| James Prusha | Registered Dietitian Or Nutrition Professional | A D Medical Supply Inc | 1525 W Homer St, Suite 101, Chicago, IL 60642-1285 |
| Jaime E Finn | Registered Dietitian Or Nutrition Professional | A D Medical Supply Inc | 1525 W Homer St, Suite 101, Chicago, IL 60642-1285 |
| Georgia W Blaha | Registered Dietitian Or Nutrition Professional | A D Medical Supply Inc | 1525 W Homer St, Suite 101, Chicago, IL 60642-1285 |
| Linda E Sampram | Registered Dietitian Or Nutrition Professional | A D Medical Supply Inc | 1525 W Homer St, Suite 101, Chicago, IL 60642-1285 |
| Nicholas S Palumbo | Registered Dietitian Or Nutrition Professional | A D Medical Supply Inc | 1525 W Homer St, Suite 101, Chicago, IL 60642-1285 |
| Donna M George | Registered Dietitian Or Nutrition Professional | A D Medical Supply Inc | 1525 W Homer St, Suite 101, Chicago, IL 60642-1285 |
| Find all physicians in zip 60642 | |||
| City | CHICAGO |
| Zip Code | 60642 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CHICAGO + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on George J Urban.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.