Individual
DR. DEREK LEO OCONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
801 MAIN ST NW, BOURBONNAIS, IL 60914-2314
(815) 932-3516
Mailing address
263 BARRINGTON LN, BOURBONNAIS, IL 60914-1673
(815) 955-1358
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019033232
IL
Other
Enumeration date
06/21/2021
Last updated
06/21/2021
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