Individual
LAURA RAE QUIGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1611 W HARRISON ST., STE 300, CHICAGO, IL 60618
(312) 432-2366
(708) 409-5179
Mailing address
1611 W HARRISON ST STE 300, CHICAGO, IL 60612-4861
(312) 432-2366
(708) 409-4179
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209-003227
IL
Other
Enumeration date
02/26/2015
Last updated
02/26/2015
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