| Independent Psychiatry Sc | |
|
1634 Avenue Of The Cities Moline IL 61265-4860 | |
| (309) 762-9711 | |
| (309) 762-9747 |
| Full Name | Independent Psychiatry Sc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1634 Avenue Of The Cities, Moline, Illinois |
| Authorized Official Name and Position | Ernest L Galbreath (PRESIDENT) |
| Authorized Official Contact | 3097629711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Independent Psychiatry Sc 1634 Avenue Of The Cities Moline IL 61265-4860 Ph: (309) 762-9711 | Independent Psychiatry Sc 1634 Avenue Of The Cities Moline IL 61265-4860 Ph: (309) 762-9711 |
| NPI Number | 1578542064 |
|---|---|
| Provider Enumeration Date | 01/12/2006 |
| Last Update Date | 11/08/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578542064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (Illinois) | Primary |
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