QUAD CITIES REGENERATIVE MEDICINE, LLC


Address: 4101 John Deere Rd Ste 2, Moline, IL 61265-6790
Phone: 3095812999

QUAD CITIES REGENERATIVE MEDICINE, LLC (NPI# 1073146692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073146692
Entity Type Organization
Organization Name QUAD CITIES REGENERATIVE MEDICINE, LLC
Practice Address 4101 John Deere Rd Ste 2
Moline
IL 61265-6790
Practice Telephone 3095812999
Mailing Telephone 3095812999
Enumeration Date 2020-02-21
Last Update Date 2020-02-21
Authorized Official Name DR. LANCE M CARROLL (MANAGER)
Authorized Official Telephone 3095029513
Authorized Official Credential DC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers
Y 111N00000X Chiropractor Chiropractic Providers

Office Location

Street Address 4101 JOHN DEERE RD STE 2
City MOLINE
State IL
Zip Code 61265-6790

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861035438 Ora Orthopedics, PC Orthopaedic Surgery 510 Valley View Drive, Moline, IL 61265 2019-10-25
1598231698 Secure Dental Vi Dentist 106 16th St, Unit #90, Moline, IL 61265 2018-10-17
1487152088 Fjellheim P.c Chiropractor 1535 47th Avenue, Suite 5, Moline, IL 61265 2018-01-29
1326567199 Elizabeth Ann Teichler Respiratory Therapist, Registered 4360 7th Street, Moline, IL 61265 2017-09-13
1497279913 Caroline M Mather Behavioral Analyst 2430 6th Avenue, Moline, IL 61265 2017-07-26
1639625239 Elizabeth Anderson Nurse's Aide 4319 26th Ave Apt 1, Moline, IL 61265 2016-09-01
1437604154 Lindsey Bollaert Nurse Practitioner 1100 36th Ave, Moline, IL 61265 2016-08-23
1437541869 Divvymed, LLC Pharmacy 4300 44th Ave, Moline, IL 61265 2015-02-23
1477955250 Todd Stone Nurse Practitioner 1100 3th Avenue, Moline, IL 61265 2014-09-23
1588084479 Familia Dental Moline LLC Dentist 1102 4th Ave, Moline, IL 61265 2014-04-18
Find all providers in zip 61265

Taxonomy Information

Taxonomy Code 111N00000X
Grouping Chiropractic Providers
Classification Chiropractor

Taxonomy Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649737479 Morgen Scroggins Chiropractor 1535 47th Ave Ste 5, Moline, IL 61265-7088 2019-02-28
1972067361 Great River Family Wellness Chiropractor 1909 52nd Avenue, Moline, IL 61265-6126 2019-01-30
1487152088 Fjellheim P.c Chiropractor 1535 47th Avenue, Suite 5, Moline, IL 61265 2018-01-29
1427582170 Shawn Kurtis Duncan Chiropractor 1611 5th Ave, Moline, IL 61265-7905 2017-04-19
1689051823 Authentic Health Center LLC Chiropractor 4703 16th St Ste J, Moline, IL 61265-7066 2015-04-27
1184981599 James M Scranton Chiropractor 3471 Avenue of The Cities, Moline, IL 61265-4418 2012-04-23
1235402637 Rock River Wellness, LLC Chiropractor 2201 52nd Ave, Moline, IL 61265-6371 2012-02-15
1386920510 Carla Ann Sullivan Chiropractor 1535 47th Ave, Suite 5, Moline, IL 61265-7088 2011-11-02
1447559935 Wayne Davis Chiropractic Inc Chiropractor 1715 5th Ave A, Moline, IL 61265 2011-03-23
1083912190 Hurst Chiropractic Chiropractor 4820 22nd Ave, Moline, IL 61265-3675 2011-03-14
Find all providers in MOLINE

Competitor

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City MOLINE
Zip Code 61265

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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