Mr Clarence E Quint, CRNA | |
200 Stahlhut Dr, Lincoln, IL 62656-5066 | |
(217) 732-2161 | |
(217) 735-3526 |
Full Name | Mr Clarence E Quint |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 200 Stahlhut Dr, Lincoln, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659596906 | NPI | - | NPPES |
209000791 | Other | IL | STATE ADV PRACTICE NURSIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 041275045 (Illinois) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 209-000791 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Clarence E Quint, CRNA 9 Forest Hills Dr, Lincoln, IL 62656-5314 Ph: (217) 737-0345 | Mr Clarence E Quint, CRNA 200 Stahlhut Dr, Lincoln, IL 62656-5066 Ph: (217) 732-2161 |
Gregory Willis, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 200 Stahlhut Dr, Lincoln, IL 62656 Phone: 217-732-2161 Fax: 217-735-3526 |