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Quad City Prosthetic Inc
Prosthetic/Orthotic Supplier in Rock Island, Illinois
NPI 1215925805

Quad City Prosthetic Inc is a Prosthetic/Orthotic Supplier based in Peoria, IL. Quad City Prosthetic Inc practices in Rock Island, IL. The NPI Number for Quad City Prosthetic Inc is 1215925805 and holds a License No. (Illinois).

The current practice location address for Quad City Prosthetic Inc is 4730 44Th St, Rock Island, IL and can be reached out via phone at 309-283-0880 and via fax at 309-283-0881. You can also correspond with Quad City Prosthetic Inc through the mailing address at 741 W MAIN ST, PEORIA, IL - 61606-1953 (mailing address contact number: 800-334-5705).

Location: 4730 44Th St, Rock Island, IL, 61606-1953
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215925805
Provider Name
Quad City Prosthetic Inc
Credential
Provider Entity Type
Organization
Address
4730 44Th St, Rock Island, IL, 61606-1953
Phone Number
309-283-0880
Fax Number
309-283-0881
Provider Enumeration Date
10/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
41788300 05 WI
0933150 05 IA
623820305 05 MO
0008170232 01 IL BLUE CROSS BLUE SHIELD
131131100 01 US DEPT OF LABOR
44119 01 IA WELLMARK BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
4730 44Th St
City
Rock Island
State
Illinois
Zip
61201
Phone Number
309-283-0880
Fax Number
309-283-0881
person
Provider Business Mailing Address Details
Address
741 W Main St
City
Peoria
State
Illinois
Zip
61606-1953
Phone Number
800-334-5705
Fax Number
888-663-6322
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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