Individual
THOMAS J O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
206 N RANDOLPH ST, CHAMPAIGN, IL 61820-3949
(833) 351-8255
Mailing address
206 N RANDOLPH ST, CHAMPAIGN, IL 61820-3949
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036.170923
IL
390200000X
Student in an Organized Health Care Education/Training Program
125.078382
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2021
Last updated
01/16/2026
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