Individual
KRISTEN ARIEL O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
635 N DEARBORN ST STE 100, CHICAGO, IL 60654-4618
(312) 694-2273
(312) 694-2129
Mailing address
635 N DEARBORN ST STE 100, CHICAGO, IL 60654-4618
(312) 694-2273
(312) 694-2129
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085008970
IL
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025629
NYS RPA
NY
Enumeration date
09/22/2020
Last updated
09/15/2022
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