Hybrid Medical Group, Llc | |
3061 7th St Moline IL 61265-5903 | |
(309) 200-0212 | |
(309) 736-3360 |
Full Name | Hybrid Medical Group, Llc |
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Speciality | Family Medicine |
Location | 3061 7th St, Moline, Illinois |
Authorized Official Name and Position | Emmanuel C Nwumeh (MEDICAL DIRECTOR) |
Authorized Official Contact | 3092000212 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hybrid Medical Group, Llc 3061 7th St Moline IL 61265-5903 Ph: (309) 200-0212 | Hybrid Medical Group, Llc 3061 7th St Moline IL 61265-5903 Ph: (309) 200-0212 |
NPI Number | 1356605588 |
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Provider Enumeration Date | 07/03/2012 |
Last Update Date | 07/03/2012 |
Medicare PECOS PAC ID | 1557527884 |
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Medicare Enrollment ID | O20120731000594 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356605588 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Emmanuel C Nwumeh |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164643623 PECOS PAC ID: 9436242484 Enrollment ID: I20091020000333 |
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