Quinones, John M

Quinones, John M is an individual health care provider with primary practice located at 1800 Broadway St , Pekin IL 61554-3822. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Quinones, John M can be contacted via phone (309) 346-3416.

Contact Information

Primary practice address
1800 Broadway St Pekin IL 61554-3822
Phone: (309) 346-3416
Fax: (309) 346-3449
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036-071254 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036071254 Illinois

Profile Details

NPI number 1063520021
LBN Legal business name Quinones, John M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Jun 27th, 2016 - about 10 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 1063520021 NPPES
Illinois Other 02922981 BCBS
Illinois Other 071254 BCBS
Illinois Other 014156 BCBS
Illinois MEDICAID 036071254 BCBS
Illinois Other 200397 BCBS
Illinois Other 180740 BCBS
Illinois Other IL0103 BCBS
Illinois Other 0062839 BCBS
Illinois Other 1942315197 BCBS

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