Individual
JANNET MANUELA REYNA-QUITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1950 W POLK ST, CHICAGO, IL 60612-3723
(312) 864-7235
(312) 864-9496
Mailing address
329 E CULLERTON ST, CHICAGO, IL 60616-1884
(434) 989-9657
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-152667
IL
207RI0200X
Infectious Disease Physician
036-152667
IL
Other
Enumeration date
06/22/2017
Last updated
11/07/2024
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