Quad Cities Regenerative Medicine, LLC

NPI #1073146692 in Moline, Illinois

Provider Information

NPI Number: 1073146692
Entity Type: Organization
Organization Name: Quad Cities Regenerative Medicine, LLC
Primary Specialty: Chiropractor
Enumeration Date: Feb 21, 2020
Last Updated: Feb 21, 2020

Practice Location

Address: 4101 JOHN DEERE RD STE 2
City: Moline
State: Illinois
ZIP Code: 61265-6790
Phone: (309) 581-2999

Authorized Official

Name: DR. LANCE M CARROLL, DC
Title: MANAGER
Phone: (309) 502-9513

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X
Chiropractor	111N00000X	Primary

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