Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0200X | Radiology | 038011598 | IL |
Y | 213ER0200X | Radiology | 038011598 | IL |
NPI | 1780018697 |
---|---|
Provider Name | Dr. Erin J Quinlan |
First Address | Westmont, IL 60559-6122 |
Second Address | Westmont, IL 60559-6122 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/08/2013 |
Last Update Date | 27/08/2013 |