Individual
MINNA JINN O'LEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
221 NE GLEN OAK AVE, PEORIA, IL 61636
(309) 495-1670
(708) 216-9033
Mailing address
221 NE GLEN OAK AVE, PEORIA, IL 61636
(309) 495-1670
(708) 216-9033
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036107606
IL
2084P0800X
Psychiatry Physician
36107606
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36107606
—
IL
Enumeration date
03/01/2006
Last updated
02/25/2013
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