Provider Demographics
NPI:1821196981
Name:O'CONNELL, MARGARET A (PT)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:A
Last Name:O'CONNELL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 E LAKE COOK RD
Mailing Address - Street 2:SUITE 209
Mailing Address - City:BUFFALO GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60089-4356
Mailing Address - Country:US
Mailing Address - Phone:847-520-3382
Mailing Address - Fax:847-520-3404
Practice Address - Street 1:125 E LAKE COOK RD
Practice Address - Street 2:SUITE 209
Practice Address - City:BUFFALO GROVE
Practice Address - State:IL
Practice Address - Zip Code:60089-4356
Practice Address - Country:US
Practice Address - Phone:847-520-3382
Practice Address - Fax:847-520-3404
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist