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Organization
MEDICAL ARTS ASSOCIATES, LTD.
Active
Organization
MEDICAL ARTS ASSOCIATES, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE A LEVSEN (ADMINISTRATOR)
(309) 779-4200
Entity
Organization
Contact information
Practice address
600 JOHN DEERE RD, SUITE 200, MOLINE, IL 61265-6869
(309) 779-4200
(309) 779-4305
Mailing address
600 JOHN DEERE RD, SUITE 200, MOLINE, IL 61265-6869
(309) 779-4200
(309) 779-4305
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
2084N0400X
Neurology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8115563
BLUE SHIELD IL
IL
Enumeration date
01/11/2006
Last updated
02/23/2021
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