| Quad Cities Wellness And Rehabilitation Center, Ltd. | |
|
1634 Avenue Of The Cities, Moline, IL 61265-4860 | |
| (309) 762-7660 | |
| (309) 762-7874 |
| Full Name | Quad Cities Wellness And Rehabilitation Center, Ltd. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1634 Avenue Of The Cities, 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 |
|---|---|---|---|
| 1457577793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (Illinois) | Primary |
| Provider Name | Timothy J Kennedy |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1568433720 PECOS PAC ID: 1759287188 Enrollment ID: I20031216000312 |
| Provider Name | Michael D Richards |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1285711085 PECOS PAC ID: 8123129434 Enrollment ID: I20070730000807 |
| Mailing Address | Practice Location Address |
|---|---|
| Quad Cities Wellness And Rehabilitation Center, Ltd. 1634 Avenue Of The Cities, Moline, IL 61265-4860 Ph: (309) 762-7660 | Quad Cities Wellness And Rehabilitation Center, Ltd. 1634 Avenue Of The Cities, Moline, IL 61265-4860 Ph: (309) 762-7660 |
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