Provider Demographics
NPI:1871650606
Name:QUIRK, MAUREEN E (RDH)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:E
Last Name:QUIRK
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:560 N 7TH AVENUE
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:IL
Mailing Address - Zip Code:60101
Mailing Address - Country:US
Mailing Address - Phone:630-776-9260
Mailing Address - Fax:
Practice Address - Street 1:55 E LOOP RD
Practice Address - Street 2:STE 201
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187-2038
Practice Address - Country:US
Practice Address - Phone:630-653-8899
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist