Individual
DR. AMY ELIZABETH IAQUINTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
2700 PATRIOT BLVD STE 250, GLENVIEW, IL 60026-8021
(847) 729-1288
(847) 729-0882
Mailing address
1920 SUNSET RIDGE RD., GLENVIEW, IL 60025
(847) 729-1288
(847) 729-0882
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038008090
IL
111NS0005X
Sports Physician Chiropractor
2115
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH2215
—
SC
Enumeration date
03/22/2006
Last updated
07/21/2022
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