| My Urban Clinic, Inc | |
|
215 N Broadway Ave Salem IL 62881-1511 | |
| (618) 548-1700 | |
| (618) 548-1706 |
| Full Name | My Urban Clinic, Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 215 N Broadway Ave, Salem, Illinois |
| Authorized Official Name and Position | Toney E Means (PRESIDENT) |
| Authorized Official Contact | 7132788710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Urban Clinic, Inc Po Box 421472 Houston TX 77242-1472 Ph: (713) 278-8710 | My Urban Clinic, Inc 215 N Broadway Ave Salem IL 62881-1511 Ph: (618) 548-1700 |
| NPI Number | 1043408743 |
|---|---|
| Provider Enumeration Date | 10/09/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043408743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Texas) | Primary |
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