| Doctor Name: | KELLEEN M URBON |
| NPI Number: | 1073514774 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 180-000218 |
| Business Practice Address: | 110 E Countryside Pkwy Yorkville, IL - 605601813 |
| Business Phone Number: | 6305531600 |
| Business Fax Number: | 6305537993 |
| Mailing Address: | 1120 E Main St, Ste. 201 ST CHARLES |
| State: | IL |
| Postal Code: | 601742287 |
| Phone Number: | 6303776613 |
| Fax Number: | 6303776225 |
| NPI Enumeration Date: | 08/03/2005 |
| NPI Last Update Date: | 01/27/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 180-000218 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |