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Genesis Health System

Organization Active NPI Pediatrics Physician · East Moline, IL

NPI 1073621322 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1073621322
Entity type
Organization (NPI type 2)
Primary specialty
Pediatrics Physician 208000000X
Legal business name
GENESIS HEALTH SYSTEM
Practice address
4360 Kennedy Dr
East Moline, IL 61244-4287
Phone
(309) 796-0991
Fax
(309) 796-1597
NPI assigned
Aug 28, 2006
Organization subpart
No

Authorized official

Name
Mr. Mark J. Kleinschmidt
Title
Vice President of Finance
Phone
(563) 421-6513

Corporate family (same tax ID) 36

Organizations that report the same tax identification number in the National Provider Directory.

View all 36

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

  • Conway Chin, DO Physical Medicine & Rehabilitation Physician · Eldridge, IA · NPI 1326001827
    NPD (past)

National Provider Directory

Tax ID family
Dav Med (37 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208000000X Yes

Addresses

Primary practice location

4360 Kennedy Dr
East Moline, IL 61244-4287

Mailing address

865 Lincoln Rd
Ste L10
Bettendorf, IA 52722-4190
Phone (563) 355-9191

Other names

  • Genesis Health Group Doing business as

Other providers in East Moline, IL

All providers in East Moline, IL · Pediatrics Physician in Illinois

Sources for this page

Verify at the official NPI Registry.