| Great River Family Wellness | |
|
1909 52nd Avenue, Moline, IL 61265-6126 | |
| (563) 210-4803 | |
| Not Available |
| Full Name | Great River Family Wellness |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1909 52nd Avenue, Moline, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972067361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Alexis J Arguello |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1124312707 PECOS PAC ID: 0143499111 Enrollment ID: I20110808000750 |
| Provider Name | Andrew Gardner |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1750972717 PECOS PAC ID: 8325453202 Enrollment ID: I20210723001767 |
| Mailing Address | Practice Location Address |
|---|---|
| Great River Family Wellness 1909 52nd Avenue, Moline, IL 61265 Ph: (563) 210-4803 | Great River Family Wellness 1909 52nd Avenue, Moline, IL 61265-6126 Ph: (563) 210-4803 |
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