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Organization

PEDIATRIC GROUP ASSOCIATES, SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTY WEBER (BILLING SUPERVISOR)
(309) 797-5437
Entity
Organization

Contact information

Practice address
1625 AVENUE OF THE CITIES, MOLINE, IL 61265-4856
(309) 797-5437
(309) 797-3140
Mailing address
1625 AVENUE OF THE CITIES, MOLINE, IL 61265-4856
(309) 797-5437
(309) 797-3140

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
IL

Other

Enumeration date
03/24/2006
Last updated
04/20/2008
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