Individual
GISELLE MARTINEZ-O'CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(312) 996-4008
Mailing address
17800 KEDZIE AVE, HAZEL CREST, IL 60429-2029
(708) 799-8000
(773) 967-5808
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209019715
IL
363LF0000X
Family Nurse Practitioner
Primary
209019715
IL
Other
Enumeration date
09/26/2019
Last updated
10/08/2025
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