Whalio Doctors

NPI 1003111469

Diane L O'Connor, RNFA

Practitioner Registered Nurse First Assistant Evergreen Park, IL

Practice location

Address
2850 W 95th St, Evergreen Park, IL 60805-2735
Phone
(708) 952-1030
Fax
(708) 952-1032
Mailing address
13309 E Red Coat Dr, Lemont, IL 60439-8155

Registered specialties

Registered Nurse First Assistant Primary
Nursing Service Providers Taxonomy 163WR0006X Licence 041218725 (IL)

Registry record

NPI
1003111469
Entity type
Individual
Sex (as registered)
Female
NPI issued
17 Jan 2011
Record last updated
17 Jan 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.