Individual
DR. MICHAEL DAVID QUIDORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN-CRNA
Contact information
Practice address
251 E HURON ST, CHICAGO, IL 60611-2908
(312) 926-2000
Mailing address
251 E HURON ST STE 5-704, CHICAGO, IL 60611-2908
(312) 695-0061
(312) 695-9013
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209022423
IL
Other
Enumeration date
06/04/2020
Last updated
10/01/2024
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