Individual
TERESA M O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1725 W HARRISON ST, SUITE 809, CHICAGO, IL 60612-3841
(312) 942-5904
(312) 942-3192
Mailing address
1725W HARRISON ST 809, CHICAGO, IL 60612-3861
(312) 942-5904
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209.012775
IL
Other
Enumeration date
05/28/2015
Last updated
08/03/2015
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