Mcquillan, Moira E.

Mcquillan, Moira E. is an individual health care provider with primary practice located at 12050 S Harlem Ave Ste A, Palos Heights IL 60463-2803. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mcquillan, Moira E. can be contacted via phone (708) 671-1500.

Contact Information

Primary practice address
12050 S Harlem Ave Ste A Palos Heights IL 60463-2803
Phone: (708) 671-1500
Fax: (708) 671-1535
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036119095 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-119095 Illinois

Profile Details

NPI number 1215120811
LBN Legal business name Mcquillan, Moira E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2007
Last updated Nov 30th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215120811 NPPES
Illinois Other 036119095 STATE LICENSE

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