NPIMap

Organization Active NPI

Access Healthcare Clinic LTD

  • Medical Specialty Clinic/Center
  • East Moline, IL
National Provider Identifier
1407835200
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
ACCESS HEALTHCARE CLINIC LTD
Practice address
1180 Avenue of the Cities
Suite 1
East Moline, IL 61244-4110
Phone
(309) 792-8545
Fax
(309) 792-8566
NPI assigned
Jan 11, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Justice Aaron Gondwe, M.D.NPI 1912928086
Title
President
Phone
(309) 792-8545

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X IL Primary
Primary Care Clinic/Center 261QP2300X IL

Addresses

Primary practice location

1180 Avenue of the Cities
Suite 1
East Moline, IL 61244-4110

Mailing address

1180 Avenue of the Cities
Suite 1
East Moline, IL 61244-4110
Phone (309) 792-8545

National Provider Directory

National Provider Directory

Locations

1180 Avenue of the Cities
East Moline, IL 61244
Phone (309) 792-8545

1180 Avenue of the Cities
Ste 1
East Moline, IL 61244
Phone (309) 792-8545

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1407835200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 AVENUE OF THE CITIES",
            "address_2": "SUITE 1",
            "city": "EAST MOLINE",
            "state": "IL",
            "postal_code": "612444110",
            "telephone_number": "309-792-8545",
            "fax_number": "309-792-8566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 AVENUE OF THE CITIES",
            "address_2": "SUITE 1",
            "city": "EAST MOLINE",
            "state": "IL",
            "postal_code": "612444110",
            "telephone_number": "309-792-8545",
            "fax_number": "309-792-8566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS HEALTHCARE CLINIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-11",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GONDWE",
        "authorized_official_first_name": "JUSTICE",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-792-8545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Moline, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.