MEDICARE: QUINN STEPHEN MCBRIDE 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
1	207R00000X	Internal Medicine Physician	125.087201	IL

General Provider Information

NPI Number	:	1710724992
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	QUINN STEPHEN MCBRIDE MD

Provider Business Mailing Address
First Line	:	355 E OHIO ST UNIT 3609
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-6065
Country	:	US
Telephone Number	:	812-322-5831
Fax Number	:

Provider Business Practice Location Address
First Line	:	250 E SUPERIOR ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-2914
Country	:	US
Telephone Number	:	312-926-2000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2024
Last Update Date	:	06/09/2026

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