Provider Demographics
NPI:1295724441
Name:OCONNOR, NOREEN P (NP)
Entity type:Individual
Prefix:
First Name:NOREEN
Middle Name:P
Last Name:OCONNOR
Suffix:
Gender:F
Credentials:NP
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Other - Last Name:
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Mailing Address - Street 1:1365 PAYSPHERE CIR
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60674-0013
Mailing Address - Country:US
Mailing Address - Phone:847-585-7000
Mailing Address - Fax:847-240-0622
Practice Address - Street 1:676 N SAINT CLAIR ST
Practice Address - Street 2:STE 2140
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2927
Practice Address - Country:US
Practice Address - Phone:312-664-5400
Practice Address - Fax:312-664-5854
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q03306Medicare UPIN
ILK02499Medicare ID - Type Unspecified