My Urban Clinic, INC

NPI #1043408743 in Salem, Illinois

Provider Information

NPI Number
1043408743
Entity Type
Organization
Organization Name
My Urban Clinic, INC
Primary Specialty
Clinic/Center
Enumeration Date
Oct 9, 2007
Last Updated
Jul 21, 2022

Practice Location

Address
215 N BROADWAY AVE
City
Salem
ZIP Code
62881-1511
Phone
(618) 548-1700

Authorized Official

Name
MR. TONEY E MEANS
Title
PRESIDENT
Phone
(713) 278-8710

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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