Individual
JOSEPH WILLIAM QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-8000
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2016-02375
NC
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
036153240
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336587377
—
NC
01
—
19PB1
BCBS OF NC
NC
01
—
NCW9160322
MEDICARE
NC
Enumeration date
06/12/2013
Last updated
11/27/2024
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