Individual
CONNOR FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1620 W HARRISON ST, CHICAGO, IL 60612-3801
(312) 942-5000
Mailing address
600 S PAULINA ST STE 403, CHICAGO, IL 60612-3806
(312) 942-0312
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
125081683
IL
390200000X
Student in an Organized Health Care Education/Training Program
125081683
IL
Other
Enumeration date
05/09/2023
Last updated
05/22/2023
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