| Robert Young Center | |
|
4600 3rd St Moline IL 61265-6106 | |
| (309) 779-2031 | |
| (309) 779-5222 |
| Full Name | Robert Young Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 4600 3rd St, Moline, Illinois |
| Authorized Official Name and Position | Dennis Duke (PRESIDENT) |
| Authorized Official Contact | 3097792043 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Young Center 4600 3rd St Moline IL 61265-6106 Ph: (309) 779-2031 | Robert Young Center 4600 3rd St Moline IL 61265-6106 Ph: (309) 779-2031 |
| NPI Number | 1376909309 |
|---|---|
| Provider Enumeration Date | 01/06/2016 |
| Last Update Date | 11/17/2021 |
| Certification Date | 11/17/2021 |
| Medicare PECOS PAC ID | 4587600150 |
|---|---|
| Medicare Enrollment ID | O20050705000917 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376909309 | NPI | - | NPPES |
| 144649 | Other | IL | MEDICARE PTAN |
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