| Genesis Memory Clinic, Illini Campus | |
|
855 Illini Dr Suite 202 Silvis IL 61282-2907 | |
| (309) 281-2630 | |
| (309) 281-2639 |
| Full Name | Genesis Memory Clinic, Illini Campus |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 855 Illini Dr, Silvis, Illinois |
| Authorized Official Name and Position | Mark G. Rogers (VP OF FINANCE / CFO) |
| Authorized Official Contact | 5634216513 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Memory Clinic, Illini Campus 865 Lincoln Rd Suite L10 Bettendorf IA 52722-4190 Ph: (563) 355-9200 | Genesis Memory Clinic, Illini Campus 855 Illini Dr Suite 202 Silvis IL 61282-2907 Ph: (309) 281-2630 |
| NPI Number | 1801182753 |
|---|---|
| Provider Enumeration Date | 06/20/2011 |
| Last Update Date | 06/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801182753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
Transitions Nfp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1314 10th St, Silvis, IL 61282 Phone: 309-732-0958 |