O'Leary, Minna Jinn

O'Leary, Minna Jinn is an individual health care provider with primary practice located at 221 Ne Glen Oak Ave , Peoria IL 61636. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. O'Leary, Minna Jinn can be contacted via phone (309) 495-1670.

Contact Information

Primary practice address
221 Ne Glen Oak Ave Peoria IL 61636
Phone: (309) 495-1670
Fax: (708) 216-9033
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 36107606 Illinois
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 036107606 Illinois

Profile Details

NPI number 1871560623
LBN Legal business name O'Leary, Minna Jinn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Feb 25th, 2013 - about 13 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 1871560623 NPPES
Illinois MEDICAID 36107606

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