Individual
TIMOTHY EDWARD O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(888) 584-7888
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.076037
IL
207RH0003X
Hematology & Oncology Physician
Primary
036.165334
IL
Other
Enumeration date
04/06/2020
Last updated
11/02/2023
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