Individual
DR. MACKENZIE GLEE KALIS QUALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
125.068199
IL
207L00000X
Anesthesiology Physician
Primary
62723
MN
390200000X
Student in an Organized Health Care Education/Training Program
125.068199
IL
Other
Enumeration date
05/12/2016
Last updated
07/21/2022
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