Genesis Health Group | |
205 11th St Port Byron IL 61275-9037 | |
(309) 523-3116 | |
(309) 523-3916 |
Full Name | Genesis Health Group |
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Speciality | Family Medicine |
Location | 205 11th St, Port Byron, Illinois |
Authorized Official Name and Position | Mark J Kleinschmidt (VICE PRESIDENT OF FINANCE) |
Authorized Official Contact | 5634216513 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Genesis Health Group 865 Lincoln Rd Suite L10 Bettendorf IA 52722-4190 Ph: (563) 355-9191 | Genesis Health Group 205 11th St Port Byron IL 61275-9037 Ph: (309) 523-3116 |
NPI Number | 1770699043 |
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Provider Enumeration Date | 08/21/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770699043 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Riverfront Medical, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 N Main St, Port Byron, IL 61275 Phone: 312-422-4035 |