MY URBAN CLINIC, INC (NPI# 1952599656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952599656 |
| Entity Type | Organization |
| Organization Name | MY URBAN CLINIC, INC |
| Other Organization Name | MY CLINIC |
| Practice Address |
142 Indian Springs Dr Sandwich IL 60548-1902 |
| Mailing Address |
Po Box 421472 Houston TX 77242-1472 |
| Practice Telephone | 8157862300 |
| Practice Fax Number | 8157868585 |
| Mailing Telephone | 7132788710 |
| Mailing Fax Number | 7132781910 |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MR. TONEY E MEANS (PRESIDENT) |
| Authorized Official Telephone | 7132788710 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | ========= | TX | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| My Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225217276 | My Urban Clinic, Inc | Clinic/Center | 1020 East Stale St, Sharon, PA 16146 | 2007-10-26 |
| 1932397411 | My Urban Clinic, Inc | Clinic/Center | 8200 Sr 366, Russell Point, OH 43348 | 2007-10-09 |
| 1134317837 | My Urban Clinic, Inc | Clinic/Center | 1971 Central Ave, Middletown, OH 45044-4401 | 2007-10-09 |
| 1396927596 | My Urban Clinic, Inc | Clinic/Center | 205 N Main St, Centerville, OH 45459-4617 | 2007-11-29 |
| 1205018405 | My Urban Clinic, Inc | Clinic/Center | 821 Scioto St, Urbana, OH 43078-2223 | 2007-11-29 |
| 1528256229 | My Urban Clinic, Inc | Clinic/Center | 1405 N Park Ave, Alexandria, IN 46001-1466 | 2007-10-09 |
| 1437347135 | My Urban Clinic, Inc | Clinic/Center | 325 W Main St, Greensburg, IN 47240-1650 | 2007-10-09 |
| 1144418849 | My Urban Clinic, Inc | Clinic/Center | 2148 E Main St, Springfield, OH 45503-4956 | 2007-10-09 |
| 1053509752 | My Urban Clinic, Inc | Clinic/Center | 306 Beall Ave, Wooster, OH 44691-3520 | 2007-10-09 |
| 1770771479 | My Urban Clinic, Inc | Clinic/Center | 812 Coshocton Ave, Mount Vernon, OH 43050-1947 | 2007-10-09 |
| Street Address |
142 INDIAN SPRINGS DR |
| City | SANDWICH |
| State | IL |
| Zip Code | 60548-1902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699716845 | Jeffry Richard Ellis | Pharmacist | 142 Indian Springs Dr, Sandwich, IL 60548-1902 | 2006-06-09 |
| 1831336429 | Dot Drugs Inc | Durable Medical Equipment & Medical Supplies | 142 Indian Springs Dr, Sandwich, IL 60548-1902 | 2009-01-19 |
| 1730369117 | Jennifer L Levine | Physician Assistant | 142 Indian Springs Dr, Sandwich, IL 60548-1902 | 2007-11-14 |
| 1316070931 | Adele Luci Danny | Family Medicine | 142 Indian Springs Dr, Medicine Shoppe Pharmacy Corner Care Clinic, Sandwich, IL 60548-1902 | 2007-03-13 |
| 1699801449 | Matthew Richard Kuebrich Sr. | Pharmacist | 142 Indian Springs Dr, Sandwich, IL 60548-1902 | 2007-02-26 |
| 1417083585 | Nicole L Wright | Pharmacist | 142 Indian Springs Dr, Sandwich, IL 60548-1902 | 2007-02-25 |
| 1457418329 | Jenise Ervin | Nurse Practitioner | 142 Indian Springs Dr, Sandwich, IL 60548-1902 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366954166 | Northern Rehabilitation and Sports Medicine Associates | Physical Therapist | 523 E. Railroad Street, Suite A, Sandwich, IL 60548 | 2017-11-02 |
| 1538683040 | Ariel Eads | Counselor | 207 E Church St Unit A, Sandwich, IL 60548 | 2017-07-27 |
| 1093169138 | Kimberly S Miner | Acupuncturist | 100 South Latham Street, Suite 103b, Sandwich, IL 60548 | 2016-04-14 |
| 1316304058 | Dekalb Behavioral Health Foundation, Inc. | Clinic/Center | 100 S Latham St Ste 204, Sandwich, IL 60548 | 2016-01-26 |
| 1215006200 | Robert C Lerohl | Dentist | 430 S. Dayton Street, Sandwich, IL 60548 | 2006-11-06 |
| 1609950641 | Joseph Jimenez | Chiropractor | 823 E Church St, Sandwich, IL 60548 | 2006-10-25 |
| 1104919703 | Pharmacy Operations, Inc | Pharmacy | 142 Indian Springs Drive, Sandwich, IL 60548 | 2006-10-02 |
| 1902911076 | Jason Lee Robinson | Physical Therapist | 710 E Railroad St, Sandwich, IL 60548 | 2006-08-20 |
| 1982719209 | Anchor Dental Center Ltd | Dentist | 100 S Latham St, Sandwich, IL 60548 | 2006-08-19 |
| 1376566745 | Sandwich Community Fire Protection District | Ambulance | 310 E Railroad St, Sandwich, IL 60548 | 2006-07-25 |
| Find all providers in zip 60548 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| 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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|---|---|---|---|---|
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| 1760653158 | Vision Health Eyecare Center Ltd | Clinic/Center | 823 E Church St Ste B, Sandwich, IL 60548-1890 | 2008-03-13 |
| 1114155983 | Fox Valley Vein Centers, P.C. | Clinic/Center | 831 Sandhurst Dr, Sandwich, IL 60548-1390 | 2009-06-30 |
| 1366537292 | Midwest Center for Cancer & Blood, Sc | Clinic/Center | 15 W Pleasant Ave, Sandwich, IL 60548-1050 | 2006-10-04 |
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| 1588261770 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 2701 W 68th St Fl 3, Chicago, IL 60629-1813 | 2020-10-01 |
| 1013514298 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 1500 S Fairfield Ave Fl 4, Chicago, IL 60608-1782 | 2020-10-01 |
| 1841804879 | Chicago Poly Clinic LLC | Clinic/Center | 2446 W Devon Ave, Chicago, IL 60659-1913 | 2020-09-08 |
| 1386258226 | Ortho Spine Surgical LLC | Clinic/Center | 1925 E 95th St Ste 220, Chicago, IL 60617-4710 | 2020-09-08 |
| 1821607425 | Desired Medical Services Incorporated | Clinic/Center | 371 Mackinaw Ave, Calumet City, IL 60409-2524 | 2020-07-29 |
| 1639787823 | Md Infusions, Pllc | Clinic/Center | 666 Dundee Rd Ste 1800, Northbrook, IL 60062-2727 | 2020-07-14 |
| 1407474083 | Staten Family Practice Pllc | Clinic/Center | 500 W Virginia Ave, Gillespie, IL 62033-1025 | 2020-07-09 |
| 1629696679 | Serenity Internal Medicine & Wellness Center | Clinic/Center | 3330 W 177th St # 2d-1, Hazel Crest, IL 60429-2184 | 2020-07-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.