Individual
DR. MICHAEL RUBEN QUINTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
284 VISTA DR, BOLINGBROOK, IL 60490-5538
(331) 201-2863
Mailing address
284 VISTA DR, BOLINGBROOK, IL 60490-5538
(331) 201-2863
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
038.012439
IL
Other
Enumeration date
05/24/2013
Last updated
04/21/2020
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