Individual
MR. CONNER THOMAS LIVINGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3311 N HALSTED ST, CHICAGO, IL 60657-2412
(773) 435-9994
Mailing address
4755 N MALDEN ST APT GS, CHICAGO, IL 60640-4386
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.010583
IL
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/19/2024
Last updated
10/11/2024
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