Provider Demographics
NPI:1598968638
Name:QUIROZ, ANNELLY
Entity Type:Individual
Prefix:MRS
First Name:ANNELLY
Middle Name:
Last Name:QUIROZ
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 1:650 SUMAC DR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60506-8874
Mailing Address - Country:US
Mailing Address - Phone:630-209-0390
Mailing Address - Fax:630-801-5144
Practice Address - Street 1:650 SUMAC DR
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60506-8874
Practice Address - Country:US
Practice Address - Phone:630-209-0390
Practice Address - Fax:630-801-5144
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist