Individual
MRS. KATELYN MAY O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
550 W OGDEN AVE, HINSDALE, IL 60521-3186
(630) 323-6116
(630) 323-6169
Mailing address
550 W OGDEN AVE, HINSDALE, IL 60521-3186
(630) 323-6116
(630) 323-6169
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
085-002187
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00378570
RAILROAD
IL
Enumeration date
08/15/2005
Last updated
07/03/2013
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