NPIMap

Organization Active NPI

Endocrine Associates of the Quad Cities S.C.

  • Specialist
  • Moline, IL
National Provider Identifier
1407912264
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1238136 Issued in IA
Legal business name
ENDOCRINE ASSOCIATES OF THE QUAD CITIES S.C.
Practice address
612 35TH Ave
Moline, IL 61265-6176
Phone
(309) 788-0014
Fax
(309) 623-4638
NPI assigned
Dec 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Authorized official

Name
Julie Elaine Oestreich
Title
Office Manager
Phone
(309) 788-0014

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X IL
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 1238136 IA Primary

Addresses

Primary practice location

612 35TH Ave
Moline, IL 61265-6176

Mailing address

612 35TH Ave
Moline, IL 61265-6176
Phone (309) 788-0014

Other practice location 1

1989 Spruce Hills Dr
Bettendorf, IA 52722-2624
Phone (563) 293-3131

National Provider Directory

National Provider Directory

Locations

612 35th Ave
Ste 1
Moline, IL 61265
Phone (309) 788-0014

612 35th Ave
Ste A
Moline, IL 61265

2560 24th St
Ste 102
Rock Island, IL 61201
Phone (309) 779-3670

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1407912264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 35TH AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656176",
            "telephone_number": "309-788-0014",
            "fax_number": "309-623-4638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 35TH AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656176",
            "telephone_number": "309-788-0014",
            "fax_number": "309-623-4638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1989 Spruce Hills Dr",
            "address_purpose": "LOCATION",
            "city": "Bettendorf",
            "state": "IA",
            "postal_code": "527222624",
            "country_code": "US",
            "telephone_number": "563-293-3131",
            "fax_number": "309-779-3953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ENDOCRINE ASSOCIATES OF THE QUAD CITIES S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "OESTREICH",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "309-788-0014"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "IA",
            "license": "1238136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.