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NPI Code Detail

MEDICARE: NANCY QUESADA MD

MEDICARE: NANCY QUESADA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0200XCritical Care Medicine (Internal Medicine) Physician036-109229IL
2207RP1001XPulmonary Disease Physician036-109229IL

General Provider Information

NPI Number : 1558393512
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY QUESADA MD
Provider Business Mailing Address
First Line : 2929 S ELLIS AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60616-3395
Country : US
Telephone Number : 312-563-1842
Fax Number : 312-563-1842
Provider Business Practice Location Address
First Line : 2929 S ELLIS AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60616-3395
Country : US
Telephone Number : 312-563-1842
Fax Number : 312-563-1842
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2006
Last Update Date : 04/28/2021

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