Search › Illinois › 1041C0700X
Justin Runquist
NPI 1669317194 · on the registry since 2026 · sole proprietor
Practice
- Address
- 555 S River Rd Apt 207
Des Plaines, IL 60016 - Phone
- (630) 338-9721
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-04-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois