| Benjamin Z. Shnurman D.o.,s.c. | |
|
615 35th Ave Moline IL 61265-6107 | |
| (309) 762-0476 | |
| (309) 762-3673 |
| Full Name | Benjamin Z. Shnurman D.o.,s.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 615 35th Ave, Moline, Illinois |
| Authorized Official Name and Position | Benjamin Z. Shnurman (OWNER) |
| Authorized Official Contact | 3097620476 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Z. Shnurman D.o.,s.c. 615 35th Ave Moline IL 61265-6107 Ph: (309) 762-0476 | Benjamin Z. Shnurman D.o.,s.c. 615 35th Ave Moline IL 61265-6107 Ph: (309) 762-0476 |
| NPI Number | 1881922391 |
|---|---|
| Provider Enumeration Date | 11/20/2009 |
| Last Update Date | 11/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881922391 | NPI | - | NPPES |
| 036082580 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036082580 (Illinois) | Primary |
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