| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 530 12th St, Erie, Illinois |
| Authorized Official Name and Position | Mark G Rogers (VICE PRESIDENT OF FINANCE) |
| Authorized Official Contact | 5634216513 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
865 Lincoln Rd Ste L10 Bettendorf IA 52722-4190 Ph: (563) 355-9191 | 530 12th St Erie IL 61250-9461 Ph: (309) 659-2215 |
| NPI Number | 1023124831 |
|---|---|
| Provider Enumeration Date | 08/22/2006 |
| Last Update Date | 04/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023124831 | NPI | - | NPPES |
| 5727210022 | Other | DMERC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Quality Care Partners Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5789 Cordova Rd, Erie, IL 61250 Phone: 863-221-2351 Fax: 309-515-1044 | |