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Organization
QUAD CITY ENDOSCOPY, L.L.C.
Active
Organization
QUAD CITY ENDOSCOPY, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SREENIVAS CHINTALAPANI MD (ADMINISTRATOR MEDICAL DIRECTOR)
(309) 277-5624
Entity
Organization
Contact information
Practice address
4340 7TH STREET, MOLINE, IL 61265-6867
(309) 277-5624
(309) 277-9201
Mailing address
4340 7TH STREET, MOLINE, IL 61265-6867
(309) 277-5624
(309) 277-9201
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
7003125
IL
Other
Enumeration date
01/06/2006
Last updated
08/30/2011
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