Digestive Disease Specialists | |
525 Valley View Drive Moline IL 61265 | |
(309) 601-2814 | |
(309) 601-2803 |
Full Name | Digestive Disease Specialists |
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Speciality | Internal Medicine |
Location | 525 Valley View Drive, Moline, Illinois |
Authorized Official Name and Position | Poonputt Chotiprasidhi (OWNER/PHYSICIAN) |
Authorized Official Contact | 3096012814 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Digestive Disease Specialists 525 Valley View Drive Moline IL 61265 Ph: (309) 601-2814 | Digestive Disease Specialists 525 Valley View Drive Moline IL 61265 Ph: (309) 601-2814 |
NPI Number | 1891077160 |
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Provider Enumeration Date | 09/13/2011 |
Last Update Date | 11/04/2024 |
Medicare PECOS PAC ID | 7618142183 |
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Medicare Enrollment ID | O20111212000470 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891077160 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Provider Name | Poonputt Chotiprasidhi |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1558363713 PECOS PAC ID: 2062475866 Enrollment ID: I20041111000394 |
Provider Name | Chaudry Ahmad Waheed Cheema |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1659375343 PECOS PAC ID: 1951319409 Enrollment ID: I20060327000047 |
Provider Name | Zahid Kaleem |
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Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1063476208 PECOS PAC ID: 4284659483 Enrollment ID: I20130205000153 |
Provider Name | Kimberly L Donald |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245606946 PECOS PAC ID: 7810297751 Enrollment ID: I20151130000570 |
Provider Name | Bobbi J Park |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194179705 PECOS PAC ID: 8628367745 Enrollment ID: I20160804000657 |
Provider Name | Russell D Deidiker |
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Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1841265345 PECOS PAC ID: 0547384224 Enrollment ID: I20200922000744 |
Provider Name | Tammy Torsch |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194378992 PECOS PAC ID: 9739595422 Enrollment ID: I20210303002606 |
Provider Name | Chelsea Mausser |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861099830 PECOS PAC ID: 0244646982 Enrollment ID: I20210324000742 |
Qc Medical Group And Weight Loss Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4350 7th St, Ste B, Moline, IL 61265 Phone: 309-517-1180 Fax: 309-517-1113 | |
Genesis Health Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2526 41st St, Suite 1, Moline, IL 61265 Phone: 309-792-6540 Fax: 309-764-9326 | |
Good Samaritan Free Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 602 35th Ave, Moline, IL 61265 Phone: 309-797-4688 Fax: 309-797-6118 | |
Anis Ahmad, M.d., S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3061 7th St, Ste A, Moline, IL 61265 Phone: 309-762-6161 Fax: 309-762-5387 | |
Genesis Health Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 615 Valley View Dr, Ste 204, Moline, IL 61265 Phone: 309-764-4500 Fax: 309-762-2250 | |
Zaioor Valley Infectious Disease Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 615 35th Ave, Moline, IL 61265 Phone: 815-535-7434 | |
Genesis Health Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1410 7th St, Moline, IL 61265 Phone: 309-764-9404 Fax: 309-764-9406 |