MEDICARE: COUNTY OF ROCK ISLAND

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251K00000X	Public Health or Welfare Agency		IL

General Provider Information

NPI Number	:	1568678944
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNTY OF ROCK ISLAND

Provider Business Mailing Address
First Line	:	2112 25TH AVE
Second Line	:
City	:	ROCK ISLAND
State	:	IL
Zip	:	61201-5317
Country	:	US
Telephone Number	:	309-793-1955
Fax Number	:	309-794-7091

Provider Business Practice Location Address
First Line	:	2112 25TH AVE
Second Line	:
City	:	ROCK ISLAND
State	:	IL
Zip	:	61201-5317
Country	:	US
Telephone Number	:	309-793-1955
Fax Number	:	309-794-7091

Authorized Official
Title or Position	:	PUBLIC HEALTH ADMINISTRATOR
Name	:	MS. WENDY TRUTE
Credential	:	MPH
Telephone Number	:	309-558-2800

Provider Enumeration Date	:	05/15/2007
Last Update Date	:	10/31/2008

Similar Medicare Providers

1922252899 — COUNTY OF ROCK ISLAND
Practice Location Address:

2112 25TH AVE
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61201-5317

Practice Phone: 309-793-1955
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1285053876 — MRS. JESSICA MICHELLE MORRIS CNM
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1033921499 — HILARY SHAW BS, IBCLC
Practice Location Address:

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1184064214 — JESSICA E GAGNON CFNP
Practice Location Address:

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1710060637 — DR. MICHAEL M. MILANOVICH D.M.D.
Practice Location Address:

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1730389610 — BELINDA GONZALEZ MD
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Directions to “COUNTY OF ROCK ISLAND ” Practice Location

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