Quintana, Marie
Quintana, Marie is an sole proprietor health care provider with primary practice located at 24821 W 135Th St , Plainfield IL 60544-5413. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Quintana, Marie can be contacted via phone (815) 254-7400.Contact Information
Primary practice address
24821 W 135Th St
Plainfield IL 60544-5413
Phone: (815) 254-7400
Fax: (815) 634-3188
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 180009309 | Illinois |
Profile Details
| NPI number | 1720465412 |
|---|---|
| LBN Legal business name | Quintana, Marie |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 1st, 2015 |
| Last updated | May 1st, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720465412 | NPPES |
| Illinois | Other | 180009309 | ILLINOIS LICENSE |
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