Quad City Clinic SC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

QUAD CITY CLINIC SC

Practice address

4322 7TH St
Moline, IL 61265-6867

Phone

(309) 762-5501

Fax

(309) 762-7434

NPI assigned

Jan 12, 2006

Organization subpart

No

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

Authorized official

Name

Eric A Alfon, MD

Title

President

Phone

(309) 762-5501

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1710966205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4322 7TH ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656867",
            "telephone_number": "309-762-5501",
            "fax_number": "309-762-7434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4322 7TH ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656867",
            "telephone_number": "309-762-5501",
            "fax_number": "309-762-7434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUAD CITY CLINIC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-12",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "ALFON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-762-5501",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DE3128",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Quad Cities Recovery & Counseling Center LLC
• Quad Cities Regenerative Medicine, LLC
• Quad Cities Wellness and Rehabilitation Center, LTD.
• Quad Cities Wellness Clinic
• Quad City Ambulatory Surgery Center LLC
• Quad City Endoscopy, L.L.C.
• Quad City Prosthetic Inc
• Quad City Spine Clinic
• Quest Diagnostics Incorporated
• Quest Diagnostics LLC

• Family Medicine Physician in Moline, IL
• Providers in Moline, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.