Provider Demographics
NPI:1285401091
Name:URBINA, ANDREINA (FNP)
Entity type:Individual
Prefix:
First Name:ANDREINA
Middle Name:
Last Name:URBINA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:ANDREINA
Other - Middle Name:
Other - Last Name:RAMIREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5816 S MEADE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60638-3542
Mailing Address - Country:US
Mailing Address - Phone:708-655-7289
Mailing Address - Fax:
Practice Address - Street 1:4007 W 63RD ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60629-4605
Practice Address - Country:US
Practice Address - Phone:773-767-2266
Practice Address - Fax:866-493-3835
Is Sole Proprietor?:No
Enumeration Date:2023-12-11
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.029004363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily