NPI 1003430596

Kiersten Judith O'Neill, PAC

Practitioner Physician Assistant Chicago, IL

Practice location

Address: 676 N Saint Clair St STE 2100, Chicago, IL 60611-2993
Phone: (312) 695-1800
Fax: (312) 695-4741

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 085008521 (IL)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1003430596
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Jun 2020
Record last updated: 21 Aug 2024

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.