Individual
TIMOTHY P OCONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
420 NE GLEN OAK AVE STE 401, PEORIA, IL 61603
(309) 676-8123
(309) 676-8455
Mailing address
420 NE GLEN OAK AVE STE 401, PEORIA, IL 61603-3112
(309) 676-8123
(309) 676-8455
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
036090699
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036090699
—
IL
Enumeration date
10/05/2005
Last updated
01/16/2025
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