| Quad Cities Regenerative Medicine, Llc | |
|
4101 John Deere Rd Ste 2, Moline, IL 61265-6790 | |
| (309) 581-2999 | |
| Not Available |
| Full Name | Quad Cities Regenerative Medicine, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 4101 John Deere Rd Ste 2, Moline, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073146692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| Provider Name | Lance M Carroll |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1861405987 PECOS PAC ID: 2365339942 Enrollment ID: I20040228000387 |
| Provider Name | Amanda J Alongi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932665064 PECOS PAC ID: 8325373764 Enrollment ID: I20190708002702 |
| Mailing Address | Practice Location Address |
|---|---|
| Quad Cities Regenerative Medicine, Llc 4101 John Deere Rd Ste 2, Moline, IL 61265-6790 Ph: (309) 581-2999 | Quad Cities Regenerative Medicine, Llc 4101 John Deere Rd Ste 2, Moline, IL 61265-6790 Ph: (309) 581-2999 |
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