Individual provider · Type 1 NPI
Mallory K. Quinn, DT
Specialist · Chicago, IL
NPI number
1598893968
Active
Practice location
3040 N. Wilton
Chicago, IL 60657
Fax (773) 296-7281
Mailing address
10401 S. Sangamon
Chicago, IL 60628
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MQ15380506P (IL) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1598893968
Mallory K. Quinn, DT's National Provider Identifier is 1598893968, issued on Feb 28, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Chicago, IL. The record was last updated on Jul 8, 2007.