Oconnor, Timothy W

Oconnor, Timothy W is an individual health care provider with primary practice located at 7447 W Talcott Ave Ste 262, Chicago IL 60631-3745. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Oconnor, Timothy W can be contacted via phone (773) 775-1900.

Contact Information

Primary practice address
7447 W Talcott Ave Ste 262 Chicago IL 60631-3745
Phone: (773) 775-1900
Fax: (773) 775-8034
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036065174 Illinois

Profile Details

NPI number 1881687036
LBN Legal business name Oconnor, Timothy W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated May 25th, 2016 - about 10 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 1881687036 NPPES
Illinois MEDICAID 036065174
Illinois Other 01607483

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