Iag Behavioral Center | |
4366 Kennedy Dr East Moline IL 61244-4250 | |
(309) 796-1603 | |
Not Available |
Full Name | Iag Behavioral Center |
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Speciality | Clinic/center - Adult Mental Health |
Location | 4366 Kennedy Dr, East Moline, Illinois |
Authorized Official Name and Position | David Brooks (COO) |
Authorized Official Contact | 6307590201 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Iag Behavioral Center 1289 Windham Pkwy Romeoville IL 60446-1763 Ph: () - | Iag Behavioral Center 4366 Kennedy Dr East Moline IL 61244-4250 Ph: (309) 796-1603 |
NPI Number | 1659653319 |
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Provider Enumeration Date | 09/19/2011 |
Last Update Date | 03/26/2021 |
Certification Date | 03/26/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659653319 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 150.013257 (Illinois) | Secondary |
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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