Individual
LINDA LOU O'REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COMS
Contact information
Practice address
1515 S. MERIDIAN ROAD, ROCKFORD, IL 61102
(815) 964-0937
Mailing address
421 WELTY AVEUNE, ROCKFORD, IL 61107
(815) 398-7245
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
222Q00000X
IL
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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