Individual
MS. MARIA O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1725 W HARRISON ST STE 328, CHICAGO, IL 60612-3852
(312) 942-8106
(312) 942-2359
Mailing address
1474 W CARMEN AVE # 1, CHICAGO, IL 60640-2813
(773) 307-2873
(312) 942-2359
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085002302
IL
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
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