Individual
DR. KELLY L OCONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
801 MAIN ST, BOURBONNAIS, IL 60914
(815) 932-3516
(815) 932-2992
Mailing address
801 MAIN ST, BOURBONNAIS, IL 60914
(815) 932-3516
(815) 932-2992
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019020584
IL
Other
Enumeration date
02/29/2008
Last updated
10/22/2018
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