MEDICARE: BELLEVILLE URGENT CARE WALK-IN CLINIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1225694946
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BELLEVILLE URGENT CARE WALK-IN CLINIC

Provider Business Mailing Address
First Line	:	2801 W MAIN ST
Second Line	:
City	:	BELLEVILLE
State	:	IL
Zip	:	62226-6646
Country	:	US
Telephone Number	:	313-948-3055
Fax Number	:

Provider Business Practice Location Address
First Line	:	2801 W MAIN ST
Second Line	:
City	:	BELLEVILLE
State	:	IL
Zip	:	62226-6646
Country	:	US
Telephone Number	:	313-948-3055
Fax Number	:

Authorized Official
Title or Position	:	BUSINESS OPERATIONS MANAGER
Name	:	NANCY MOLNAR
Credential	:
Telephone Number	:	313-948-3055

Provider Enumeration Date	:	05/17/2019
Last Update Date	:	02/19/2026

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Directions to “BELLEVILLE URGENT CARE WALK-IN CLINIC ” Practice Location

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