MS. SUSAN MARIE QUILLIN


Address: The Association for Individual Development (aid), 309 New Indian Trail Court, Aurora, IL 60506-2494
Phone: 6309664168

MS. SUSAN MARIE QUILLIN (NPI# 1457564874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457564874
Entity Type Individual
Full Name MS. SUSAN MARIE QUILLIN
Credential RN
Practice Address The Association for Individual Development (aid)
309 New Indian Trail Court
Aurora
IL 60506-2494
Mailing Address 2726 Harbor Dr
Joliet
IL 60431-1078
Practice Telephone 6309664168
Practice Fax Number 6308449011
Mailing Telephone 8154363969
Mailing Fax Number 6308442065
Enumeration Date 2007-05-08
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WA2000X Registered Nurse
Specialization: Administrator
IL Nursing Service Providers

Office Location

Street Address THE ASSOCIATION FOR INDIVIDUAL DEVELOPMENT (AID)
309 NEW INDIAN TRAIL COURT
City AURORA
State IL
Zip Code 60506-2494

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Taxonomy Information

Taxonomy Code 163WA2000X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Administrator

Taxonomy Definition

Definition to come...

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1962801357 Karen Moore Registered Nurse 2500 S Havana St, Aurora, CO 80014-1618 2014-08-21
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1790084788 Carri R Holton Registered Nurse 12605 E 16th Ave, Aurora, CO 80045-2545 2011-03-16
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Competitor

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City AURORA
Zip Code 60506

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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