Quinn, Frederick Douglas

Quinn, Frederick Douglas is an sole proprietor health care provider with primary practice located at 540 W. Frontage Road Suite 2115, Northfield IL 60093-1291. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Quinn, Frederick Douglas can be contacted via phone (847) 337-7846.

Contact Information

Primary practice address
540 W. Frontage Road Suite 2115 Northfield IL 60093-1291
Phone: (847) 337-7846
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180-005700 Illinois

Profile Details

NPI number 1760631808
LBN Legal business name Quinn, Frederick Douglas
Credentials LCPC, NCC, DAPA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 12th, 2008
Last updated May 27th, 2011 - about 15 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 1760631808 NPPES
Illinois Other 060-008928 REGISTERED PROFESSIONAL SERVICE CORP.
Illinois Other 180-005700 REGISTERED PROFESSIONAL SERVICE CORP.

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