Individual
LOUIS AQUINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
122 E ZUPAN ST, MARYVILLE, IL 62062-2010
(618) 344-4449
Mailing address
PO BOX 340, MARYVILLE, IL 62062-0340
(618) 344-4449
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117421
HEALTHLINK
MO
01
—
24827
BC/BS OF MISSOURI
MO
01
—
2750074
UHC MIDWEST
IL
Enumeration date
10/03/2005
Last updated
10/05/2007
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