TRACEY DAWN KINIGAKIS

ROCKFORD, IL
NPI1952337131
Former NameTRACEY DAWN QUART
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036095213)
Enumeration Date2006-06-23
Last Update Date2009-08-28
Business Address
-- TRACEY DAWN KINIGAKIS MD
1495 NORTHROCK CT
ROCKFORD, IL 61103-1233
Phone number: 815-618-8116
Mailing Address
-- TRACEY DAWN KINIGAKIS MD
10168 SUSAN CT
ROSCOE, IL 61073-9309
Phone number: 815-623-1354
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