O'Connor, Mary Lynn

O'Connor, Mary Lynn is an individual health care provider with primary practice located at 301 N 8Th St Ste 4A , Springfield IL 62701-1013. She recently has only one registered license in Other Service Providers / Genetic Counselor, MS, which is considered as her primary health care specialty. O'Connor, Mary Lynn can be contacted via phone (217) 545-8000.

Contact Information

Primary practice address
301 N 8Th St Ste 4A Springfield IL 62701-1013
Fax: (217) 545-5018
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Genetic Counselor, MS 170300000X 246-000378 Illinois

Profile Details

NPI number 1437631132
LBN Legal business name O'Connor, Mary Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2018
Last updated Aug 30th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437631132 NPPES
Illinois Other 246-000378 IL LICENSE

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