Il-Iowa Psychiatry, Llc in Moline - Child & Adolescent Psychiatry
Il-Iowa Psychiatry, Llc - NPI 1053500553
Il-Iowa Psychiatry, Llc is a Child & Adolescent Psychiatry in Moline, Illinois. Il-Iowa Psychiatry, Llc practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Il-Iowa Psychiatry, Llc is 1053500553. The last update date is 2007-10-19.
Il-Iowa Psychiatry, Llc's current location address is 1634 Avenue Of The Cities, Moline, Illinois. You can contact this provider via phone number 3097629711 and fax number 3097629747. The mailing address for Il-Iowa Psychiatry, Llc is 1634 Avenue Of The Cities, Moline, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Il-Iowa Psychiatry, Llc |
|---|---|
| Address | 1634 Avenue Of The Cities, Moline, Illinois |
| Phone Number | 3097629711 |
| Fax Number | 3097629747 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Pogue Kent Todd |
| Credentials | DO |
| Telephone Number | 3097629711 |
NPI Number Detail
| NPI Number | 1053500553 |
|---|---|
| Provider Enumeration Date | 2007-10-19 |
| Last Updated Date | 2007-10-19 |
Provider Mailing Address Detail
| Address | 1634 Avenue Of The Cities |
|---|---|
| City | Moline |
| State | Illinois (IL) |
| Post Code | 612654860 |
| Phone Number | 3097629711 |
| Fax Number | 3097629747 |
Provider's Primary Taxonomy Detail
| Speciality | Child & Adolescent Psychiatry |
|---|---|
| Taxonomy | 2084P0804X |
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Definition: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Il-Iowa Psychiatry, Llc by the Centers for Medicare & Medicaid Services?
The Il-Iowa Psychiatry, Llc has been issued the NPI (National Provider Identifier) 1053500553, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Il-Iowa Psychiatry, Llc?
The Il-Iowa Psychiatry, Llc is physically situated at 1634 Avenue Of The Cities, in the city of Moline, state of IL, with the postal code 612654860.
What is Il-Iowa Psychiatry, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Il-Iowa Psychiatry, Llc's area of specialization is Child & Adolescent Psychiatry, and the corresponding taxonomy code that categorizes this field of practice is 2084P0804X.
On what date did the Centers for Medicare & Medicaid Services issue the 1053500553 to Il-Iowa Psychiatry, Llc?
The Il-Iowa Psychiatry, Llc received its 1053500553 assignment from the Centers for Medicare & Medicaid Services on 2007-10-19.
When was the information related to Il-Iowa Psychiatry, Llc most recently updated or refreshed?
The details pertaining to the Il-Iowa Psychiatry, Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-10-19.