Individual
DR. BRENT STUART O'CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1019 ILLINOIS RD, WILMETTE, IL 60091-1307
(847) 256-1908
(847) 256-1909
Mailing address
1019 ILLINOIS RD, WILMETTE, IL 60091-1307
(847) 256-1908
(847) 256-1909
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036060746
IL
Other
Enumeration date
01/15/2013
Last updated
01/15/2013
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