| Sean D Oconnor Md Sc | |
|
211 E Chicago Ave Suite 1050 Chicago IL 60611-2637 | |
| (312) 944-6677 | |
| Not Available |
| Full Name | Sean D Oconnor Md Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 211 E Chicago Ave, Chicago, Illinois |
| Authorized Official Name and Position | Sean Dennis Oconnor (OWNER) |
| Authorized Official Contact | 3129446677 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sean D Oconnor Md Sc 211 E Chicago Ave Suite 1050 Chicago IL 60611-2637 Ph: (312) 944-6677 | Sean D Oconnor Md Sc 211 E Chicago Ave Suite 1050 Chicago IL 60611-2637 Ph: (312) 944-6677 |
| NPI Number | 1740693423 |
|---|---|
| Provider Enumeration Date | 06/10/2014 |
| Last Update Date | 06/10/2014 |
| Medicare PECOS PAC ID | 8325136575 |
|---|---|
| Medicare Enrollment ID | O20141219001403 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740693423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036-097642 (Illinois) | Primary |
| Provider Name | Sean Dennis Oconnor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609831528 PECOS PAC ID: 8022042142 Enrollment ID: I20101028001354 |
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