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Ms. Mallory K. Quinn, DT
Specialist in Chicago, Illinois
NPI 1598893968

Mallory K. Quinn is a Specialist based in Chicago, IL. Mallory K. Quinn practices in Chicago, IL and has the professional credentials of DT. The NPI Number for Mallory K. Quinn is 1598893968 and holds a License No. MQ15380506P (Illinois).

The current practice location address for Mallory K. Quinn is 3040 N. Wilton, Chicago, IL and can be reached out via phone at 773-296-8452 and via fax at 773-296-7281.

Location: 3040 N. Wilton, Chicago, IL, 60628
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598893968
Provider Name
Mallory K. Quinn
Credential
DT
Provider Entity Type
Individual
Gender
Female
Address
3040 N. Wilton, Chicago, IL, 60628
Phone Number
773-296-8452
Fax Number
773-296-7281
Provider Enumeration Date
02/28/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MQ15380506P 01 IL EARLY INTERVENTION PROVID
institution
Provider Business Practice Location Address Details
Address
3040 N. Wilton
City
Chicago
State
Illinois
Zip
60657
Phone Number
773-296-8452
Fax Number
773-296-7281
person
Provider Business Mailing Address Details
Address
3040 N. Wilton
City
Chicago
State
Illinois
Zip
60657
Phone Number
773-296-8452
Fax Number
773-296-7281
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MQ15380506P (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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