Organization
THE EYE CENTER OF THE QUAD CITIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAZ DILIP PENMATCHA M.D. (PRESIDENT OPHTHALMOLOGIST)
(309) 797-0877
Entity
Organization
Contact information
Practice address
4540 3RD ST, MOLINE, IL 61265-6104
(309) 797-0877
(309) 797-9299
Mailing address
4540 3RD ST, MOLINE, IL 61265-6104
(309) 797-0877
(309) 797-9299
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036-104091
IL
Other
Enumeration date
04/23/2006
Last updated
08/13/2008
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