Individual
JOHN M QUINONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1800 BROADWAY ST, PEKIN, IL 61554-3822
(309) 346-3416
(309) 346-3449
Mailing address
1800 BROADWAY ST, PEKIN, IL 61554-3822
(309) 346-3416
(309) 346-3449
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036-071254
IL
207Q00000X
Family Medicine Physician
Primary
036071254
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0062839
UMWA
IL
01
—
014156
HEALTH ALLIANCE
IL
01
—
02922981
BCBS
IL
05
—
036071254
—
IL
01
—
071254
OSF HEALTHPLANS
IL
01
—
180740
HEALTH LINK
IL
01
—
1942315197
NPI CLINIC NUMBER
IL
01
—
200397
BLACK LUNG
IL
01
—
IL0103
JOHN DEERE
IL
Enumeration date
08/29/2006
Last updated
06/27/2016
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