Individual
MARY LEE QUAID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
1800 NEWTON AVE, PARK RIDGE, IL 60068-5613
(847) 830-8817
Mailing address
1800 NEWTON AVE, PARK RIDGE, IL 60068-5613
(847) 830-8817
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198000902
IL
Other
Enumeration date
03/09/2010
Last updated
03/09/2010
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