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NPI Code Detail

MEDICARE: DR. MAUREEN QUAID M.D.

MEDICARE: DR. MAUREEN QUAID M.D.
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
12080P0203XPediatric Critical Care Medicine Physician036082921IL

General Provider Information

NPI Number : 1598875841
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MAUREEN QUAID M.D.
Provider Business Mailing Address
First Line : 29373 NETWORK PL
Second Line :
City : CHICAGO
State : IL
Zip : 60673-1293
Country : US
Telephone Number : 847-390-5900
Fax Number :
Provider Business Practice Location Address
First Line : 1775 DEMPSTER ST
Second Line :
City : PARK RIDGE
State : IL
Zip : 60068-1143
Country : US
Telephone Number : 847-723-6692
Fax Number : 847-723-2325
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 04/27/2022

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