Provider Demographics
NPI:1780966069
Name:QUITNO, CHRIS M (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CHRIS
Middle Name:M
Last Name:QUITNO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9823 WHISPER RIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:BELVIDERE
Mailing Address - State:IL
Mailing Address - Zip Code:61008-9508
Mailing Address - Country:US
Mailing Address - Phone:630-991-1717
Mailing Address - Fax:
Practice Address - Street 1:9823 WHISPER RIDGE CIR
Practice Address - Street 2:
Practice Address - City:BELVIDERE
Practice Address - State:IL
Practice Address - Zip Code:61008-9508
Practice Address - Country:US
Practice Address - Phone:630-991-1717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-13
Last Update Date:2011-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.291650183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist