Individual
LUCERO QUINTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1007 N 17TH AVE, MELROSE PARK, IL 60160-3305
(708) 340-2736
Mailing address
1007 N 17TH AVE, MELROSE PARK, IL 60160-3305
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/21/2026
Last updated
03/21/2026
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