Individual
KAITLIN W QUALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 BIESTERFIELD RD STE 11O, ELK GROVE VILLAGE, IL 60007-3361
(847) 981-5760
(847) 956-5428
Mailing address
700 COMMERCE DR STE 500, OAK BROOK, IL 60523-8736
(847) 698-0600
(847) 698-0601
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
01094101A
IN
2085R0001X
Radiation Oncology Physician
Primary
036178741
IL
2085R0001X
Radiation Oncology Physician
68299
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036178741
—
IL
05
—
300092275
—
IN
Enumeration date
04/02/2019
Last updated
05/05/2026
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