Most Relevant Information
Provider Data
| NPI Number: | 1003373572 |
| Provider Name: | QUATANYA SEALS |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 041424259 |
Most Important Dates
| Enumeration Date: | 02/21/2019 |
| Last Updated: | 02/21/2019 |
Provider Practice Location
9931 S CRANDON AVE
CHICAGO
IL
606175243
Practice Location Phone/Fax
| Phone: | 7738925566 |
| Fax: |
Provider Mailing Location
9931 S CRANDON AVE
CHICAGO
IL
606175243
Provider Mailing Phone/Fax
| Phone: | 7738925566 |
| Fax: |