MARC D SQUILLANTE

PEORIA, IL
NPI1477599272
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: IL  036-064827)
Enumeration Date2006-06-21
Last Update Date2007-07-09
Business Address
-- MARC D SQUILLANTE D.O.
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-2553
Mailing Address
-- MARC D SQUILLANTE D.O.
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-2000