Genesis Health System
Organization Active NPI Obstetrics & Gynecology Physician · Silvis, IL
NPI 1154439404 · NPPES record last updated Sep 29, 2009
Key facts
- NPI
- 1154439404
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- Legal business name
- GENESIS HEALTH SYSTEM
- Practice address
- 855 Illini Dr
Suite 408
Silvis, IL 61282-2907 - Phone
- (309) 792-6441
- Fax
- (309) 792-7110
- NPI assigned
- Aug 28, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Mark G Rogers
- Title
- Vice President of Finance
- Phone
- (563) 421-6513
Corporate family (same tax ID) 36
Practitioners 1
-
Conway Chin, DO
National Provider Directory
- Tax ID family
- Dav Med
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician |
207V00000X | Yes |
Addresses
Primary practice location
855 Illini Dr
Suite 408
Silvis, IL 61282-2907
Mailing address
865 Lincoln Rd
Ste L10
Bettendorf, IA 52722-4190
Phone (563) 355-9191
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5727210019 | Other | DMERC |
Other names
- Genesis Health Group
Other providers in Silvis, IL
- Karen Marie Garner
- Paul Garner
- Laurie Michelle Geest
- Genesis Health System
- Genesis Health System
- Genesis Health System
- Genesis Health System
- Genesis Health System
- Genesis Health System
- Genesis Health System
All providers in Silvis, IL · Obstetrics & Gynecology Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.