Organization
IL-IOWA PSYCHIATRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD KENT POGUE DO (PRESIDENT)
(309) 762-9711
Entity
Organization
Contact information
Practice address
1634 AVENUE OF THE CITIES, MOLINE, IL 61265-4860
(309) 762-9711
(309) 762-9747
Mailing address
1634 AVENUE OF THE CITIES, MOLINE, IL 61265-4860
(309) 762-9711
(309) 762-9747
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
IL
Other
Enumeration date
10/19/2007
Last updated
10/19/2007
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