Individual
LAURA MONTOYA QUINCHIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 E WASHINGTON ST, BLOOMINGTON, IL 61701-4364
(309) 665-5996
Mailing address
5506 LINCOLN AVE UNIT 216, MORTON GROVE, IL 60053-3433
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
NA
IL
Other
Enumeration date
05/19/2026
Last updated
05/19/2026
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