Individual
DR. JOSEPH O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2529
(217) 383-3311
Mailing address
1606 BRIARWOOD LN, MAHOMET, IL 61853-7652
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
02004978A
IN
208000000X
Pediatrics Physician
036141691
IL
208000000X
Pediatrics Physician
125059304
IL
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
02004978A
IN
Other
Enumeration date
09/05/2012
Last updated
03/06/2023
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