Individual
MARIA CRISTINA VITERI QUINCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
701 N 1ST ST, SPRINGFIELD, IL 62781-0001
(217) 757-7465
(217) 788-5591
Mailing address
3313 CRYSTAL LAKE DR, SPRINGFIELD, IL 62711-7241
(217) 793-9149
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036.128088
IL
207Q00000X
Family Medicine Physician
Primary
125-055234
IL
Other
Enumeration date
06/24/2008
Last updated
08/22/2011
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