MEDICARE: QUAD CITIES INTERNAL MEDICINE PC

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	207R00000X	Internal Medicine Physician	27082	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	20088	OTHER	IA	WELLMARK
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053431437
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUAD CITIES INTERNAL MEDICINE PC

Provider Business Mailing Address
First Line	:	3509 SPRING ST
Second Line	:	SUITE 3
City	:	DAVENPORT
State	:	IA
Zip	:	52807-2124
Country	:	US
Telephone Number	:	563-359-5011
Fax Number	:	359-355-3438

Provider Business Practice Location Address
First Line	:	3509 SPRING ST
Second Line	:	SUITE 3
City	:	DAVENPORT
State	:	IA
Zip	:	52807-2124
Country	:	US
Telephone Number	:	563-359-5011
Fax Number	:	359-355-3438

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DEBRA M JAEGLE
Credential	:	M.D.
Telephone Number	:	563-359-5011

Provider Enumeration Date	:	03/30/2007
Last Update Date	:	01/16/2013

Similar Medicare Providers

1598786766 — STRANG CHIROPRACTIC OFFICES, P.C.
Practice Location Address:

3509 SPRING ST , SUITE 2
DAVENPORT, IA
52807-2124

Practice Phone: 563-355-5544
Practice Fax: 563-355-5544

1932267432 — DR. VICTOR GAYLE STRANG D.C.
Practice Location Address:

3509 SPRING ST , SUITE 2
DAVENPORT, IA
52807-2124

Practice Phone: 563-355-5544
Practice Fax:

1437292042 — DR. MICHAEL JOSEPH LINK DDS
Practice Location Address:

3509 SPRING ST STE 1
DAVENPORT, IA
52807-2124

Practice Phone: 563-355-0283
Practice Fax:

1891247904 — INTERVENTIONS IN PAIN MANAGEMENT LLC
Practice Location Address:

3509 SPRING ST STE 3
DAVENPORT, IA
52807-2124

Practice Phone: 309-428-7055
Practice Fax:

1699644435 — ZYVRA MOBILITY LLC
Practice Location Address:

7016 DAVENPORT DIVIDE RD
AUSTIN, TX
78738-2124

Practice Phone: 512-965-4832
Practice Fax:

1053243006 — ELIZABETH RINEY DNP
Practice Location Address:

4626 PROGRESS DR STE C
DAVENPORT, IA
52807-3485

Practice Phone: 309-428-1753
Practice Fax:

Directions to “QUAD CITIES INTERNAL MEDICINE PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.