NPI:
1801182753
Provider Name:
GENESIS HEALTH SYSTEM
Doing Business As: GENESIS MEMORY CLINIC, ILLINI CAMPUS
Classification:
Psychiatry & Neurology - 2084N0400X
Entity Type:
Organization
Specialization: Neurology
Address:
855 ILLINI DR
SUITE 202
SILVIS, IL
ZIP 61282
Phone:
(309) 281-2630
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GENESIS HEALTH SYSTEM is a neurology psychiatry neurology in Silvis, IL. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. GENESIS HEALTH SYSTEM NPI is 1801182753. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Genesis Memory Clinic, Illini Campus.
The provider's business location address is:
855 ILLINI DR
SUITE 202
SILVIS, IL
ZIP 61282-907
Phone: (309) 281-2630
Fax: (309) 281-2639
The provider's authorized official is Mark G. Rogers .
The authorized official title is Vp Of Finance / Cfo and has the following contact phone number (563) 421-6513.
The enumeration date for this NPI number is 6/20/2011 and was last updated on 6/20/2011.