OrganizationActive
Quality Care Partners LLC
NPI 1114747060 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Erie, IL
Provider details
- NPI number
- 1114747060
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shannon Fry, Msn Aprn Ceo(863) 221-2351
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
5789 Cordova Rd
Erie, IL 61250-9740
Phone: (863) 221-2351
Fax: (309) 515-1044
Approximate (ZIP-level) locationGet directions
Mailing address
5789 Cordova Rd
Erie, IL 61250-9740
Registry dates
- Enumerated
- 2024-10-15
- Last updated
- 2025-07-11
- Certified
- 2025-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.