Individual
CONOR FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SRNA
Contact information
Practice address
195 UNIVERSITY PARK DR, EDWARDSVILLE, IL 62025-3645
(618) 650-3705
Mailing address
195 UNIVERSITY PARK DR, EDWARDSVILLE, IL 62025-3645
(618) 650-3705
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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