Individual
JORGE L QUINTERO GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
347 S GLADSTONE AVE, AURORA, IL 60506-4877
(787) 430-7678
Mailing address
347 S GLADSTONE AVE, AURORA, IL 60506-4877
(787) 430-7678
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
Q536-4329-7031
IL
Other
Enumeration date
01/25/2019
Last updated
01/25/2019
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