Individual
LAURA CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3002 E DIVISION ST, DIAMOND, IL 60416-9486
(815) 390-3566
(815) 364-0161
Mailing address
5835 E NORTH PRAIRIE DR, MORRIS, IL 60450-7308
(815) 483-3303
(815) 531-1075
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056006304
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003232033
BLUE CROSS BLUE SHIELD
IL
01
—
03232032
EARLY INTERVENTION CBO
IL
Enumeration date
03/22/2007
Last updated
02/13/2024
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