Iowa Physicians Clinic Medical Foundation

NPI #1285005850 in Geneseo, Illinois

Provider Information

NPI Number: 1285005850
Entity Type: Organization
Organization Name: Iowa Physicians Clinic Medical Foundation
Primary Specialty: Family Medicine
Enumeration Date: Oct 8, 2015
Last Updated: Dec 17, 2015

Practice Location

Address: 600 N COLLEGE AVE
Address 2: SUITE 120
City: Geneseo
State: Illinois
ZIP Code: 61254-1095
Phone: (309) 944-5342

Authorized Official

Name: ERICK J LAINE
Title: VP/COO
Phone: (515) 471-9227

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Family Medicine	207Q00000X	Primary

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