Individual
CARLA V QUIJANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
225 E CHICAGO AVE, PEDIATRIC RADIOLOGY, CHICAGO, IL 60611-2991
(312) 227-3512
(312) 227-9784
Mailing address
225 E CHICAGO AVE, PEDIATRIC RADIOLOGY, CHICAGO, IL 60611-2991
(312) 227-3512
(312) 227-9784
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
036-115570
IL
2085N0904X
Nuclear Radiology Physician
036115570
IL
2085P0229X
Pediatric Radiology Physician
Primary
036115570
IL
2085P0229X
Pediatric Radiology Physician
52803
WI
2085R0202X
Diagnostic Radiology Physician
036115570
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073779179
—
WI
Enumeration date
07/29/2008
Last updated
12/29/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us