Individual
SCOTT O DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9550 W 167TH ST, ORLAND PARK, IL 60467-5561
(708) 873-4500
(708) 873-4505
Mailing address
20110 GOVERNORS HWY, OLYMPIA FIELDS, IL 60461-1030
(708) 747-7960
(708) 503-3993
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2476959
—
PA
Enumeration date
01/30/2007
Last updated
07/08/2007
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