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My Urban Clinic, Inc
Clinic/Center in Centralia, Illinois
NPI 1932397510

My Urban Clinic, Inc is a Clinic/Center based in Houston, IL. My Urban Clinic, Inc practices in Centralia, IL. The NPI Number for My Urban Clinic, Inc is 1932397510 and holds a License No. (Illinois).

The current practice location address for My Urban Clinic, Inc is 817 E Mccord, Centralia, IL and can be reached out via phone at 618-533-1100 and via fax at 618-533-1110. 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: 817 E Mccord, Centralia, IL, 77242-1472
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932397510
Provider Name
My Urban Clinic, Inc
Credential
Provider Entity Type
Organization
Address
817 E Mccord, Centralia, IL, 77242-1472
Phone Number
618-533-1100
Fax Number
618-533-1110
Provider Enumeration Date
10/09/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
817 E Mccord
City
Centralia
State
Illinois
Zip
62801
Phone Number
618-533-1100
Fax Number
618-533-1110
person
Provider Business Mailing Address Details
Address
817 E Mccord
City
Centralia
State
Illinois
Zip
62801
Phone Number
618-533-1100
Fax Number
618-533-1110
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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