| 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 |
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