Il-Iowa Psychiatry, LLC

NPI #1053500553 in Moline, Illinois

Provider Information

NPI Number: 1053500553
Entity Type: Organization
Organization Name: Il-Iowa Psychiatry, LLC
Primary Specialty: Psychiatry & Neurology - Child & Adolescent Psychiatry
Enumeration Date: Oct 19, 2007
Last Updated: Oct 19, 2007

Practice Location

Address: 1634 AVENUE OF THE CITIES
City: Moline
State: Illinois
ZIP Code: 61265-4860
Phone: (309) 762-9711

Authorized Official

Name: TODD KENT POGUE, DO
Title: PRESIDENT
Phone: (309) 762-9711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychiatry & Neurology - Child & Adolescent Psychiatry — Child & Adolescent Psychiatry	2084P0804X	Primary

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