Theodore L Quilitz, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

019-013905 Issued in IL

Practice address

801 S Paulina St
College of Dentistry; Dept Omfs (MC 835)
Chicago, IL 60612-7211

Phone

(312) 355-2713

Fax

(312) 996-7461

NPI assigned

Mar 18, 2009

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237334400000",
    "number": "1871734087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S PAULINA ST",
            "address_2": "COLLEGE OF DENTISTRY; DEPT OMFS (MC 835)",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606127211",
            "telephone_number": "312-355-2713",
            "fax_number": "312-996-7461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S PAULINA ST",
            "address_2": "COLLEGE OF DENTISTRY; DEPT OMFS (MC 835)",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606127211",
            "telephone_number": "312-355-2713",
            "fax_number": "312-996-7461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUILITZ",
        "first_name": "THEODORE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-18",
        "last_updated": "2009-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019-013905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan James Quigley, MD, PHD
• Thomas Andrew Quigley, MD
• Carla V Quijano, M.D.
• Melchor Noel Quilao, PT
• Shelly Ailene Quiles, LCSW
• Lori Jennifer Quilty, LCSW
• Ellaine Quiminiano
• Jiana Quimson-Baez, MSW, LSW
• Laarni Quimson, D.O.
• Kimberly Michelle Quince, QMHP

• Dentist in Chicago, IL
• Providers in Chicago, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.