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Maria Teresa Queypo

Registered Nurse in Ingleside, IL. Individual provider (NPI-1).

NPI number1124568720
StatusActive
Last updated in NPPESMar 1, 2017

Details

NPI
1124568720
Entity type
Individual (NPI-1)
Name
Maria Teresa Queypo
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 1, 2017
Last updated
Mar 1, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse041.290711ILYes

Practice location

604 Rollins Rd Unit 355
Ingleside, IL 60041-4401

Phone 847-774-2251

Mailing address

Po Box 355
Ingleside, IL 60041-0355

Phone 847-774-2251

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