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Organization

PEDIATRICS PLUS. S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL JAMES SCHOTT M.D. (OWNER/SOLE PRACTIONER)
(309) 517-6177
Entity
Organization

Contact information

Practice address
4011 AVENUE OF THE CITIES STE 101B, SUITE 101B, MOLINE, IL 61265-4454
(309) 517-6177
(309) 517-6178
Mailing address
4011 AVENUE OF THE CITIES STE 101B, SUITE 101B, MOLINE, IL 61265-4454
(309) 517-6177
(309) 517-6178

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036095373
IL
261QP2300X
Primary Care Clinic/Center
Primary
036095373
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1033179544
INDIVIDUAL NPI NUMBER
IL
Enumeration date
10/14/2013
Last updated
10/14/2013
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