DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STONE RIDGE MEDICAL GROUP SC

Active Organization

STONE RIDGE MEDICAL GROUP SC is a Family Medicine organization located in EAST MOLINE, Illinois. NPI 1306097894 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · EAST MOLINE, IL

Registration Details

NPI Number
1306097894
Provider Type
Organization
NPI Issued
Oct 2, 2008 (17.868856916378 yrs)
Last Updated
Oct 2, 2008
Licenses
036091695 (IL)
085002304 (IL)
209000908 (IL)
336053231 (IL)

Practice Information

Address
306 46TH AVE
EAST MOLINE, IL, 612444281
Browse IL providers · Browse ZIP 61244
Phone
3097962329
Fax
3097961146
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Medical Physician Assistant
Additional Specialty
Nurse Practitioner
Additional Specialty
Family Medicine

Other Family Medicine Organizations in EAST MOLINE, IL

Name NPI
GENESIS HEALTH SYSTEM 1073629473
NANCY J SHORT MD LLC 1588732150
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.