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Individual

MS. DIANE L O'CONNOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RNFA

Contact information

Practice address
2850 W 95TH ST, EVERGREEN PARK, IL 60805-2735
(708) 952-1030
(708) 952-1032
Mailing address
13309 E RED COAT DR, LEMONT, IL 60439-8155
(630) 207-4419

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
041218725
IL

Other

Enumeration date
01/17/2011
Last updated
01/17/2011
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