Provider Demographics
NPI:1447503123
Name:QUINN, JILL P (BC-HIS, ACA)
Entity type:Individual
Prefix:MS
First Name:JILL
Middle Name:P
Last Name:QUINN
Suffix:
Gender:F
Credentials:BC-HIS, ACA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7751 W 159TH ST STE 9
Mailing Address - Street 2:
Mailing Address - City:TINLEY PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60477-9308
Mailing Address - Country:US
Mailing Address - Phone:708-444-7770
Mailing Address - Fax:708-444-7772
Practice Address - Street 1:7751 W 159TH ST STE 9
Practice Address - Street 2:
Practice Address - City:TINLEY PARK
Practice Address - State:IL
Practice Address - Zip Code:60477-9308
Practice Address - Country:US
Practice Address - Phone:708-444-7770
Practice Address - Fax:708-444-7772
Is Sole Proprietor?:No
Enumeration Date:2012-10-18
Last Update Date:2015-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2638237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist