| The Center For Nuerosciences,llc | |
|
4370 7th Street Moline IL 61265 | |
| (309) 517-6891 | |
| (309) 517-3045 |
| Full Name | The Center For Nuerosciences,llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4370 7th Street, Moline, Illinois |
| Authorized Official Name and Position | Bassam Akel Assaf (MD/OWNER) |
| Authorized Official Contact | 3095176891 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Center For Nuerosciences,llc 4370 7th Street Moline IL 61265 Ph: (309) 517-6891 | The Center For Nuerosciences,llc 4370 7th Street Moline IL 61265 Ph: (309) 517-6891 |
| NPI Number | 1386889277 |
|---|---|
| Provider Enumeration Date | 12/08/2008 |
| Last Update Date | 04/24/2019 |
| Medicare PECOS PAC ID | 7012073703 |
|---|---|
| Medicare Enrollment ID | O20090304000584 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386889277 | NPI | - | NPPES |
| 327846710 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 036085765 (Illinois) | Primary |
| Provider Name | Bassam A Assaf |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225009426 PECOS PAC ID: 6002713633 Enrollment ID: I20031212000718 |
| Provider Name | Melyssa K Mosley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194232850 PECOS PAC ID: 6507128568 Enrollment ID: I20180403001102 |
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