NPI Registry.org

Quinn Gallen

NPI Registration Record

Provider / OrganizationNPIDate Certified
QUINN GALLEN16195944702020-06-28
Entity TypeIndividual
Provider Name Quinn Gallen OD
Practice Office Address10840 LINCOLN TRL
FAIRVIEW HEIGHT, IL US
Practice Office Telephone6183978880
Mailing Address15739 HEATHERCROFT DR
CHESTERFIELD, MO 630178706 US
Business Telephone9018324090
HPT Codes
CodeLicense NoState
152W00000X PRIMARY046.011449 IL
OPI Codes

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