Individual
KELLY OCONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
240 E HURON ST STE 1-200NW, CHICAGO, IL 60611-2909
(317) 529-5567
Mailing address
240 E HURON ST STE 1-200NW, CHICAGO, IL 60611-2909
(317) 529-5567
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/23/2019
Last updated
05/29/2020
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