Individual
MICHELLE O'CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201
(847) 570-2760
Mailing address
1916 DES PLAINES AVE, PARK RIDGE, IL 60068-3710
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209012180
IL
Other
Enumeration date
11/13/2014
Last updated
11/13/2014
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