Individual
LAICA MAE BASINGAN ARCIBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
612 N 11TH ST, QUINCY, IL 62301-2662
(217) 224-9484
(217) 224-7950
Mailing address
612 N 11TH ST, QUINCY, IL 62301-2662
(217) 224-9484
(217) 224-7950
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125082411
IL
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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