Louis Quintero, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

036063637 Issued in IL

Practice address

927 Broadway St Ste 106
Quincy, IL 62301-2728

Phone

(217) 224-6423

Fax

(217) 223-3641

NPI assigned

Jun 13, 2005

Last updated

Sep 7, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clinical Radiologists, S.C.

  • Diagnostic Radiology Physician
  • Springfield, IL
  • NPI 1063469252
  NPD (past)

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1881698280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 BROADWAY ST STE 200",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012818",
            "telephone_number": "217-224-6423",
            "fax_number": "217-223-3641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 BROADWAY ST STE 106",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012728",
            "telephone_number": "217-224-6423",
            "fax_number": "217-223-3641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTERO",
        "first_name": "LOUIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MO",
            "license": "104740",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036063637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quincy Physicians & Surgeons Clinic, PLLC (Quincy Medcial Group Infusion Center)
• Quincy Physicians & Surgeons Clinic, PLLC
• Quincy Physicians & Surgeons Clinic, PLLC (Quincy Medical Group)
• Quincy School District 172
• Elle Brooke Quinn, DO
• Louis Joseph Quintero II, DDS
• Pierre E Raad, M.D.
• Bobak Rafati, OD
• Adam Rafi
• Ezaz Rahman, MD

• Dermatology Physician in Quincy, IL
• Providers in Quincy, IL by specialty
• Dermatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.