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Individual

MARY LOU O'KEEFE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2850 W 95TH ST STE 102, EVERGREEN PARK, IL 60805-2703
(708) 636-4116
(708) 636-5346
Mailing address
2850 W 95TH ST STE 102, EVERGREEN PARK, IL 60805-2703
(708) 636-4116
(708) 636-5346

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
IL

Other

Enumeration date
03/19/2007
Last updated
07/08/2007
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