QUAD CITY RHEUMATOLOGY SC NPI 1114974581

NPI Information

NPI: 1114974581
Provider Name: QUAD CITY RHEUMATOLOGY SC
Classification: Internal Medicine - 207RR0500X
Entity Type: Organization

Specialization: Rheumatology

Address:
2202 18TH AVE
ROCK ISLAND, IL
ZIP 61201
Phone: (309) 762-3400
Get Directions

QUAD CITY RHEUMATOLOGY SC is a rheumatology internal medicine in Rock Island, IL. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. QUAD CITY RHEUMATOLOGY SC NPI is 1114974581. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2202 18TH AVE
ROCK ISLAND, IL
ZIP 61201-614
Phone: (309) 762-3400
Fax: (309) 764-3878

The provider's authorized official is Michael F Miniter .
The authorized official title is Md and has the following contact phone number (309) 793-3400.

The enumeration date for this NPI number is 5/30/2006 and was last updated on 2/4/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant				No
2	207RR0500X	Internal Medicine	Rheumatology			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	036081977	MEDICAID	ILLINOIS
2	208506	OTHER	ILLINOIS	MEDICARE ID#

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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