Individual
DR. JOHN O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7602 CLAREMONT DR, TINLEY PARK, IL 60477-4740
(708) 601-1345
Mailing address
7602 CLAREMONT DR, TINLEY PARK, IL 60477-4740
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-020128
IL
Other
Enumeration date
05/15/2008
Last updated
05/15/2008
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