Il-iowa Psychiatry, Llc | |
1634 Avenue Of The Cities Moline IL 61265-4860 | |
(309) 762-9711 | |
(309) 762-9747 |
Full Name | Il-iowa Psychiatry, Llc |
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Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 1634 Avenue Of The Cities, Moline, Illinois |
Authorized Official Name and Position | Todd Kent Pogue (PRESIDENT) |
Authorized Official Contact | 3097629711 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Il-iowa Psychiatry, Llc 1634 Avenue Of The Cities Moline IL 61265-4860 Ph: (309) 762-9711 | Il-iowa Psychiatry, Llc 1634 Avenue Of The Cities Moline IL 61265-4860 Ph: (309) 762-9711 |
NPI Number | 1053500553 |
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Provider Enumeration Date | 10/19/2007 |
Last Update Date | 10/19/2007 |
Identifier | Type | State | Issuer |
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1053500553 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (Illinois) | Primary |
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