Individual
KIERSTEN JUDITH O'NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
676 N SAINT CLAIR ST STE 2100, CHICAGO, IL 60611-2993
(312) 695-1800
(312) 695-4741
Mailing address
676 N SAINT CLAIR ST STE 2100, CHICAGO, IL 60611-2993
(312) 695-1800
(312) 695-4741
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085008521
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/01/2020
Last updated
08/21/2024
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