Individual
MICHELLE C O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
550 W OGDEN AVE, HINSDALE, IL 60521-3186
(630) 323-6116
(630) 794-8620
Mailing address
550 W OGDEN AVE, HINSDALE, IL 60521-3186
(630) 323-6116
(630) 794-8620
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085005800
IL
363A00000X
Physician Assistant
23.003158
CT
363A00000X
Physician Assistant
4010
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245648344
—
WI
Enumeration date
08/01/2014
Last updated
07/21/2022
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