| Medical Psychiatry Services Llc | |
|
4350 7th St Ste D Moline IL 61265-6870 | |
| (309) 757-1337 | |
| (309) 757-1339 |
| Full Name | Medical Psychiatry Services Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4350 7th St Ste D, Moline, Illinois |
| Authorized Official Name and Position | Ralph Saintfort (PRESIDENT) |
| Authorized Official Contact | 3097571337 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Psychiatry Services Llc 4350 7th St Ste D Moline IL 61265-6870 Ph: (309) 757-1337 | Medical Psychiatry Services Llc 4350 7th St Ste D Moline IL 61265-6870 Ph: (309) 757-1337 |
| NPI Number | 1922087576 |
|---|---|
| Provider Enumeration Date | 01/12/2006 |
| Last Update Date | 04/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922087576 | NPI | - | NPPES |
| 036105933 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 036105933 (Illinois) | Primary |
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