Individual
NATHAN O'CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
304 N LOOMIS ST, CHICAGO, IL 60607-1147
(312) 243-8487
Mailing address
304 N LOOMIS ST, CHICAGO, IL 60607-1147
(312) 243-8487
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160009724
IL
Other
Enumeration date
12/08/2022
Last updated
08/28/2023
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