Organization
SHC MEDICAL PARTNERS OF ILLINOIS, LLC
Active
Other names
Abode Care Partners
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH ALTSTADT (PROVIDER ENROLLMENT SPECIALIST)
(502) 394-2100
Entity
Organization
Contact information
Practice address
2545 24TH ST, ROCK ISLAND, IL 61201-5305
(877) 558-8181
Mailing address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101
(502) 394-2100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/29/2023
Last updated
12/22/2023
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