| Iowa Physicians Clinic Medical Foundation | |
|
600 N College Ave Suite 120 Geneseo IL 61254-1095 | |
| (309) 944-5342 | |
| (309) 945-4079 |
| Full Name | Iowa Physicians Clinic Medical Foundation |
|---|---|
| Speciality | Family Medicine |
| Location | 600 N College Ave, Geneseo, Illinois |
| Authorized Official Name and Position | Erick J Laine (VP/COO) |
| Authorized Official Contact | 5154719227 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iowa Physicians Clinic Medical Foundation 600 N College Ave Suite 120 Geneseo IL 61254-1095 Ph: (309) 944-5342 | Iowa Physicians Clinic Medical Foundation 600 N College Ave Suite 120 Geneseo IL 61254-1095 Ph: (309) 944-5342 |
| NPI Number | 1285005850 |
|---|---|
| Provider Enumeration Date | 10/08/2015 |
| Last Update Date | 12/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285005850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Illinois) | Primary |
| 363A00000X | Physician Assistant | (Illinois) | Secondary |
| 363L00000X | Nurse Practitioner | (Illinois) | Secondary |
Hammond Henry Hospital Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 600 N College Ave, Geneseo, IL 61254 Phone: 309-944-6431 | |
Unitypoint Clinic-family Medicine-geneseo Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 N College Ave Ste 120, Geneseo, IL 61254 Phone: 309-944-5342 Fax: 309-944-8192 |