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Contact Information

QUICKMD MEDICAL GROUP PA
1018 S MAPLE AVE
FREEPORT, IL61032-5548
 Phone: 888-878-4256
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
 

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for QUICKMD MEDICAL GROUP PA · (Female)

NPI Number 1336869858
Status Active
Credentials
Entity Individual
Enumeration date 09/02/2022
Last updated 01/15/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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