| 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 |