MEDICAL ARTS ASSOCIATES, LTD.
Allergy and Immunology
Moline, Illinois
Provider NPI: 1396724183
Organization Information:Organization Name: MEDICAL ARTS ASSOCIATES, LTD.
Practice Location:
600 JOHN DEERE RD SUITE 200 MOLINE, IL 61265 US
Tel: 309-779-4200 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
600 JOHN DEERE RD SUITE 200 MOLINE, IL 61265 US
Tel: 309-779-4200 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 207K00000X | Physicians Allergy & Immunology | ||
| N | 207ND0101X | Physicians Dermatology | ||
| N | 207RH0003X | Physicians Internal Medicine | ||
| N | 207RP1001X | Physicians Internal Medicine | ||
| N | 207V00000X | Physicians Obstetrics & Gynecology | ||
| N | 2084N0400X | Physicians Psychiatry & Neurology | ||
| N | 2085R0202X | Physicians Radiology | ||
| N | 2085U0001X | Physicians Radiology | ||
| N | 213ES0103X | Podiatric Medicine & Surgery Service Providers Podiatrist | ||
| Y | 207R00000X | Physicians Internal Medicine |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| BLUE SHIELD IL | 8115563 | IL | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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