Basic Information
Provider Information
NPI: 1942231964
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: QUIGG
FirstName: REBECCA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 55 WHITCHER ST NE STE 350
Address2:  
City: MARIETTA
State: GA
PostalCode: 300601129
CountryCode: US
TelephoneNumber: 7704246893
FaxNumber:  
Practice Location
Address1: 680 N LAKE SHORE DR
Address2: SUITE 1000
City: CHICAGO
State: IL
PostalCode: 606114546
CountryCode: US
TelephoneNumber: 3126959797
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/06/2006
LastUpdateDate: 04/11/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/11/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0000X036089623ILY Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
207RC0000X83377GAN Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease

No ID Information.


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