Provider Demographics
NPI:1780018697
Name:QUINLAN, ERIN J (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:J
Last Name:QUINLAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1108 N OAKLEY CT
Mailing Address - Street 2:APT 103
Mailing Address - City:WESTMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60559-6122
Mailing Address - Country:US
Mailing Address - Phone:630-696-6166
Mailing Address - Fax:
Practice Address - Street 1:1108 N OAKLEY CT
Practice Address - Street 2:APT 103
Practice Address - City:WESTMONT
Practice Address - State:IL
Practice Address - Zip Code:60559-6122
Practice Address - Country:US
Practice Address - Phone:630-696-6166
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-27
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038011598111NR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0200XChiropractic ProvidersChiropractorRadiology