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My Urban Clinic, Inc
Clinic/Center in Salem, Illinois
NPI 1043408743

My Urban Clinic, Inc is a Clinic/Center based in Houston, IL. My Urban Clinic, Inc practices in Salem, IL. The NPI Number for My Urban Clinic, Inc is 1043408743 and holds a License No. (Illinois).

The current practice location address for My Urban Clinic, Inc is 215 N Broadway Ave, Salem, IL and can be reached out via phone at 618-548-1700 and via fax at 618-548-1706. You can also correspond with My Urban Clinic, Inc through the mailing address at PO BOX 421472, HOUSTON, TX - 77242-1472 (mailing address contact number: 713-278-8710).

Location: 215 N Broadway Ave, Salem, IL, 77242-1472
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043408743
Provider Name
My Urban Clinic, Inc
Credential
Provider Entity Type
Organization
Address
215 N Broadway Ave, Salem, IL, 77242-1472
Phone Number
618-548-1700
Fax Number
618-548-1706
Provider Enumeration Date
10/09/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
215 N Broadway Ave
City
Salem
State
Illinois
Zip
62881-1511
Phone Number
618-548-1700
Fax Number
618-548-1706
person
Provider Business Mailing Address Details
Address
Po Box 421472
City
Houston
State
Texas
Zip
77242-1472
Phone Number
713-278-8710
Fax Number
713-278-1910
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
(Texas)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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