Quickmd Medical Group PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

QUICKMD MEDICAL GROUP PA

Practice address

1018 S Maple Ave
Freeport, IL 61032-5548

Phone

(888) 878-4256

NPI assigned

Sep 2, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Katrina Merritt

Title

Senior Manager, Credentialing

Phone

(813) 596-5726

Specialties & licenses 4

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705276800000",
    "number": "1336869858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3865 HOLCOMB BRIDGE RD",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300922205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 S MAPLE AVE",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610325548",
            "telephone_number": "888-878-4256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUICKMD MEDICAL GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-02",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A",
        "authorized_official_last_name": "MERRITT",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "SENIOR MANAGER, CREDENTIALING",
        "authorized_official_telephone_number": "813-596-5726"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Presence Life Connections
• Kimberly S Price, PT
• Bradley Procek
• Courtney L Pyant-Dan-Pullo, MD
• Quad City Prosthetic Inc
• Kristin E Rabideau, PT
• Rekha Raheja, PHARM D
• Susan K. Rahn, RN MS FNP
• Anwer Rasheed, M.D.
• Raymond L. Alberts, M.D., P.C.

• Internal Medicine Physician in Freeport, IL
• Providers in Freeport, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.