| Southpark Chiropractic Wellness Center, Llc | |
|
1529 46th Ave Suite 4 Moline IL 61265-7084 | |
| (309) 757-7100 | |
| (309) 757-7111 |
| Full Name | Southpark Chiropractic Wellness Center, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1529 46th Ave, Moline, Illinois |
| Authorized Official Name and Position | Lee Fixen (OWNER) |
| Authorized Official Contact | 3097577100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southpark Chiropractic Wellness Center, Llc 1529 46th Ave Suite 4 Moline IL 61265-7084 Ph: (309) 757-7100 | Southpark Chiropractic Wellness Center, Llc 1529 46th Ave Suite 4 Moline IL 61265-7084 Ph: (309) 757-7100 |
| NPI Number | 1972893121 |
|---|---|
| Provider Enumeration Date | 04/08/2011 |
| Last Update Date | 04/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972893121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 038011683 (Illinois) | Primary |
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 |