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IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION NPI 1285005850


NPI Information

NPI: 1285005850
Provider Name: IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
600 N COLLEGE AVE
SUITE 120
GENESEO, IL
ZIP 61254
Phone: (309) 944-5342
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IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION is a family medicine in Geneseo, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION NPI is 1285005850. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

600 N COLLEGE AVE
SUITE 120
GENESEO, IL
ZIP 61254-095
Phone: (309) 944-5342
Fax: (309) 945-4079

The provider's authorized official is Erick J Laine .
The authorized official title is Vp/coo and has the following contact phone number (515) 471-9227.

The enumeration date for this NPI number is 10/8/2015 and was last updated on 12/17/2015.


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
1363A00000XPhysician AssistantILLINOISNo
2363L00000XNurse PractitionerILLINOISNo
3207Q00000XFamily MedicineILLINOISYes

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

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