Individual
SEAN O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2160 S FIRST AVE, LOYOLA MEDICAL CENTER DEPARTMENT OF SURGERY, MAYWOOD, IL 60153
(708) 327-2670
Mailing address
2160 S FIRST AVE, LOYOLA MEDICAL CENTER DEPARTMENT OF SURGERY, MAYWOOD, IL 60153
(708) 327-2670
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
125050141
IL
Other
Enumeration date
09/08/2008
Last updated
09/08/2008
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