| Pediatrics Plus. S.C. | |
|
4011 Avenue Of The Cities Ste 101b Suite 101b Moline IL 61265-4454 | |
| (309) 517-6177 | |
| (309) 517-6178 |
| Full Name | Pediatrics Plus. S.C. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4011 Avenue Of The Cities Ste 101b, Moline, Illinois |
| Authorized Official Name and Position | Michael James Schott (OWNER/SOLE PRACTIONER) |
| Authorized Official Contact | 3095176177 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatrics Plus. S.C. 4011 Avenue Of The Cities Ste 101b Suite 101b Moline IL 61265-4454 Ph: (309) 517-6177 | Pediatrics Plus. S.C. 4011 Avenue Of The Cities Ste 101b Suite 101b Moline IL 61265-4454 Ph: (309) 517-6177 |
| NPI Number | 1568890325 |
|---|---|
| Provider Enumeration Date | 10/14/2013 |
| Last Update Date | 10/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568890325 | NPI | - | NPPES |
| 1033179544 | Other | IL | INDIVIDUAL NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 036095373 (Illinois) | Primary |
| 208000000X | Pediatrics | 036095373 (Illinois) | Secondary |
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