| Quality Care Partners Llc | |
|
5789 Cordova Rd Erie IL 61250-9740 | |
| (863) 221-2351 | |
| (309) 515-1044 |
| Full Name | Quality Care Partners Llc |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 5789 Cordova Rd, Erie, Illinois |
| Authorized Official Name and Position | Shannon Fry (MSN APRN CEO) |
| Authorized Official Contact | 8632212351 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Quality Care Partners Llc 5789 Cordova Rd Erie IL 61250-9740 Ph: (863) 221-2351 | Quality Care Partners Llc 5789 Cordova Rd Erie IL 61250-9740 Ph: (863) 221-2351 |
| NPI Number | 1114747060 |
|---|---|
| Provider Enumeration Date | 10/15/2024 |
| Last Update Date | 01/07/2025 |
| Medicare PECOS PAC ID | 9436689106 |
|---|---|
| Medicare Enrollment ID | O20250211000428 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114747060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | (* (Not Available)) | Primary |
| Provider Name | Shannon D Fry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982335022 PECOS PAC ID: 1951771013 Enrollment ID: I20240319003513 |
Genesis Health System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 530 12th St, Erie, IL 61250 Phone: 309-659-2215 Fax: 309-659-2006 | |
Morrison Community Hospital District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 530 12th St, Erie, IL 61250 Phone: 309-659-2215 |