Individual
DR. JOHN O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1835 ROHLWING RD, SUITE A, ROLLING MEADOWS, IL 60008-1394
(847) 951-4451
(847) 398-8360
Mailing address
1835 ROHLWING RD, SUITE A, ROLLING MEADOWS, IL 60008-1394
(847) 951-4451
(847) 398-8360
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036094139
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036094139
—
IL
01
—
080183974
MEDICARE RAILROAD
IL
Enumeration date
05/04/2006
Last updated
05/21/2013
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