| Madison County Urban League | |
| 
					500 Madison Ave Madison IL 62060-1414  | |
| (618) 876-9145 | |
| (618) 452-5392 | 
| Full Name | Madison County Urban League | 
|---|---|
| Speciality | Clinic/center | 
| Location | 500 Madison Ave, Madison, Illinois | 
| Authorized Official Name and Position | Ann Louise Walkington (NURSE) | 
| Authorized Official Contact | 6188769145 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Madison County Urban League Po Box 135 Madison IL 62060-0135 Ph: (618) 876-9145  | Madison County Urban League 500 Madison Ave Madison IL 62060-1414 Ph: (618) 876-9145  | 
| NPI Number | 1174796734 | 
|---|---|
| Provider Enumeration Date | 04/03/2008 | 
| Last Update Date | 07/21/2022 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1174796734 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261Q00000X | Clinic/center | (Illinois) | Primary | 
Southern Illinois Healthcare Foundation, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 Madison Ave, Madison, IL 62060 Phone: 618-397-3303 Fax: 618-397-7802  | |
Southern Illinois Healthcare Foundation, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 648 State St, Madison, IL 62060 Phone: 618-397-3303 Fax: 618-397-7802  | |
Granite City Clinic Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 602 Farrish St, Madison, IL 62060 Phone: 618-501-6261  | |
Southern Illinois Healthcare Foundation, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1425 6th St, Madison, IL 62060 Phone: 618-397-3303 Fax: 618-397-7802  |