Individual
GLORIA QUINTANILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
745 FLETCHER DR, ELGIN, IL 60123-4747
(847) 888-1300
Mailing address
336 N WORTH AVE, ELGIN, IL 60123-3449
(847) 858-9203
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F04250070
IL
Other
Enumeration date
04/08/2025
Last updated
04/17/2025
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