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CARLA V QUIJANO M.D. NPI 1073779179


NPI Information

NPI: 1073779179
Provider Name: CARLA V QUIJANO, M.D.
Classification: Radiology - 2085P0229X
Entity Type: Individual

Specialization: Pediatric Radiology

PECOS Registration: Yes

Address:
225 E CHICAGO AVE
PEDIATRIC RADIOLOGY
CHICAGO, IL
ZIP 60611
Phone: (312) 227-3512
Get Directions

Carla V Quijano, M.D. is a pediatric radiology radiology in Chicago, IL with 26 years of experience. The provider is a radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood. Carla V Quijano, M.D. NPI is 1073779179. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

225 E CHICAGO AVE
PEDIATRIC RADIOLOGY
CHICAGO, IL
ZIP 60611-991
Phone: (312) 227-3512
Fax: (312) 227-9784

The NPI 1073779179 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/29/2008 and was last updated on 12/29/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207U00000XNuclear Medicine036-115570ILLINOISNo
22085N0904XRadiologyNuclear Radiology036115570ILLINOISNo
32085P0229XRadiologyPediatric Radiology52803WISCONSINNo
42085R0202XRadiologyDiagnostic Radiology036115570ILLINOISNo
52085P0229XRadiologyPediatric Radiology036115570ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11073779179MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.