Organization · NPI-2

Arthritis Care Center PC

Internal Medicine · Moline, IL

NPI number1508974304
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1508974304
Entity type
Organization (NPI-2)
Legal business name
Arthritis Care Center PC
Organization subpart
No
Enumeration date
Aug 29, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine036087050ILYes

Practice location

609 35th Avenue
Moline, IL 61265

Phone 309-762-4500 · Fax 309-762-4661

Mailing address

609 35th Avenue
Moline, IL 61265

Phone 309-762-4500 · Fax 309-762-4661

Authorized official

Usharani M Komar
Medical Doctor
3097624500

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