Provider Demographics
NPI:1053685974
Name:KRENEK, QUINN ERIC (DC)
Entity Type:Individual
Prefix:DR
First Name:QUINN
Middle Name:ERIC
Last Name:KRENEK
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3015 E NEW YORK ST
Mailing Address - Street 2:SUITE A11
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60504-5162
Mailing Address - Country:US
Mailing Address - Phone:630-820-1330
Mailing Address - Fax:630-820-1554
Practice Address - Street 1:3015 E NEW YORK ST
Practice Address - Street 2:SUITE A11
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60504-5162
Practice Address - Country:US
Practice Address - Phone:630-820-1330
Practice Address - Fax:630-820-1554
Is Sole Proprietor?:No
Enumeration Date:2012-02-24
Last Update Date:2012-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038011555111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor