Individual
MS. SUSAN G O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
412 63RD ST STE 103, DOWNERS GROVE, IL 60516-2000
(630) 969-7706
(630) 971-6373
Mailing address
412 63RD ST STE 103, DOWNERS GROVE, IL 60516-2000
(630) 969-7706
(630) 971-6373
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041322316
IL
363L00000X
Nurse Practitioner
Primary
209005704
IL
Other
Enumeration date
09/18/2012
Last updated
03/24/2021
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