Provider Demographics
NPI:1093966350
Name:QUINN, DEBRA JUNE (M S)
Entity Type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:JUNE
Last Name:QUINN
Suffix:
Gender:F
Credentials:M S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 W VETERANS PKWY STE 310
Mailing Address - Street 2:
Mailing Address - City:YORKVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60560-4728
Mailing Address - Country:US
Mailing Address - Phone:630-466-3470
Mailing Address - Fax:630-466-3460
Practice Address - Street 1:1100 W VETERANS PKWY
Practice Address - Street 2:SUITE 310
Practice Address - City:YORKVILLE
Practice Address - State:IL
Practice Address - Zip Code:60560-4728
Practice Address - Country:US
Practice Address - Phone:630-466-3470
Practice Address - Fax:630-466-3460
Is Sole Proprietor?:No
Enumeration Date:2008-10-06
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL147.000253231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist