Individual
LOUIS QUINTERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
927 BROADWAY ST STE 106, QUINCY, IL 62301-2728
(217) 224-6423
(217) 223-3641
Mailing address
1132 BROADWAY ST STE 200, QUINCY, IL 62301-2818
(217) 224-6423
(217) 223-3641
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
104740
MO
207N00000X
Dermatology Physician
Primary
036063637
IL
Other
Enumeration date
06/13/2005
Last updated
09/07/2016
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