Organization
MADISON COUNTY URBAN LEAGUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN LOUISE WALKINGTON (NURSE)
(618) 876-9145
Entity
Organization
Contact information
Practice address
500 MADISON AVE, MADISON, IL 62060-1414
(618) 876-9145
(618) 452-5392
Mailing address
PO BOX 135, MADISON, IL 62060-0135
(618) 876-9145
(618) 452-5392
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
IL
Other
Enumeration date
04/03/2008
Last updated
07/21/2022
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