Provider Demographics
NPI:1558642256
Name:QUICK, ROSARIO MARTOS
Entity Type:Individual
Prefix:MRS
First Name:ROSARIO
Middle Name:MARTOS
Last Name:QUICK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3469 PANDOLA AVE
Mailing Address - Street 2:
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60431-2891
Mailing Address - Country:US
Mailing Address - Phone:312-208-9769
Mailing Address - Fax:
Practice Address - Street 1:3469 PANDOLA AVE
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60431-2891
Practice Address - Country:US
Practice Address - Phone:312-208-9769
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-08
Last Update Date:2011-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter