Stone Ridge Medical Group SC
Stone Ridge Medical Group SC provides Family Medicine Physician services in East Moline, Illinois. Licensed in Illinois. Registered with an NPI since 2008.
- Licensed in
- IL
- In the registry since
- 2008
- Specialties on file
- 4
Practice location Address checks out
306 46th AveEast Moline, IL 61244-4281 Not confirmed with CMS for 18 years — call before visiting
Phone: (309) 796-2329
Fax: (309) 796-1146
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 336053231 (IL) |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X · Licence 036091695 (IL) |
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence 085002304 (IL) |
| Nurse Practitioner | Taxonomy 363L00000X · Licence 209000908 (IL) |
Record details
| NPI number | 1306097894 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | James Petre — President · (309) 796-2329 |
| NPI enumerated | October 2, 2008 |
| Last updated in NPPES | October 2, 2008 |
| Mailing address | 306 46th Ave, East Moline, IL 61244-4281 |
Other providers in East Moline
-
James E Petre, MD
306 46th Ave, East Moline, IL 61244-4281 · (309) 796-2329
-
Dr. Nicholas Ryan Petre, MD
306 46th Ave, East Moline, IL 61244-4281 · (309) 796-2329
-
Dr. Anuradha Ranganath, MD
708 15th Ave, East Moline, IL 61244-2134 · (563) 336-3000
-
Dr. Nancy J Short, MD
4360 Kennedy Dr Ste 1, East Moline, IL 61244-4287 · (309) 743-7313