Active NPI
Kate Quinlin
- Periodontics
- Chicago, IL
National Provider Identifier
1417377417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 019.028961
- Practice address
- 939 W North Ave Ste 700
Chicago, IL 60642-7839 - Phone
- (312) 944-7939
- NPI assigned
- Apr 17, 2014
- Last updated
- Apr 17, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 019.028961 | IL | Primary |
Addresses
Primary practice location
939 W North Ave Ste 700
Chicago, IL 60642-7839
Mailing address
1225 N Wells St Apt 613
Chicago, IL 60610-2548
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019.028961 | IL | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397692800000",
"number": "1417377417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 N WELLS ST APT 613",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606102548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "939 W NORTH AVE STE 700",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606427839",
"telephone_number": "312-944-7939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINLIN",
"first_name": "KATE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-17",
"last_updated": "2014-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "IL",
"license": "019.028961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.