Shc Medical Partners of Illinois, LLC

NPI #1306523600 in Rock Island, Illinois

Provider Information

NPI Number
1306523600
Entity Type
Organization
Organization Name
Shc Medical Partners of Illinois, LLC
Primary Specialty
Nurse Practitioner
Enumeration Date
Jun 29, 2023
Last Updated
Dec 22, 2023

Practice Location

Address
2545 24TH ST
ZIP Code
61201-5305
Phone
(877) 558-8181

Authorized Official

Name
SARAH ALTSTADT
Title
PROVIDER ENROLLMENT SPECIALIST
Phone
(502) 394-2100

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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