Genesis Memory Clinic, Illini Campus

LBN: Genesis Health System
Genesis Memory Clinic, Illini Campus is an health care organization with primary practice located at 855 Illini Dr Suite 202, Silvis IL 61282-2907. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is the primary health care specialty. Genesis Health System can be contacted via phone (309) 281-2630, or through Rogers, Mark G. via phone (563) 421-6513.

Contact Information

Primary practice address
855 Illini Dr Suite 202 Silvis IL 61282-2907
Phone: (309) 281-2630
Fax: (309) 281-2639
Website:
Map and Directions
Authorized official contact:
Name: Rogers, Mark G.
Phone: (563) 421-6513

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Allopathic & Osteopathic Physicians / Neurology 2084N0400X

Profile Details

NPI number 1801182753
LBN Legal business name Genesis Health System
DBA Doing business as Genesis Memory Clinic, Illini Campus
Authorized official Rogers, Mark G.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2011
Last updated Jun 20th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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