Quintanilla-Dieck, Maria Josefina
Quintanilla-Dieck, Maria Josefina is an individual health care provider with primary practice located at 1519 Legacy Cir , Naperville IL 60563-3161. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is her primary health care specialty. Quintanilla-Dieck, Maria Josefina can be contacted via phone (630) 473-8901.Contact Information
Primary practice address
1519 Legacy Cir
Naperville IL 60563-3161
Phone: (630) 473-8901
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | N9937 | Texas |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 4301091563 | Michigan |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 036154214 | Illinois |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 4301091563 | Michigan |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 036154214 | Illinois |
Profile Details
| NPI number | 1457518490 |
|---|---|
| LBN Legal business name | Quintanilla-Dieck, Maria Josefina |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2008 |
| Last updated | Jun 30th, 2021 - about 3 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 | 1457518490 | NPPES |
| Texas | Other | 283860904 | ARC ROT MEDICAID |
| Texas | Other | 372614YKXV | ARC ROT MEDICAID |
| Texas | Other | 283860903 | ARC ROT MEDICAID |
| Texas | Other | 372614YKXY | ARC ROT MEDICAID |
| Texas | Other | 4301091563 | ARC ROT MEDICAID |
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