O'Connor, Maribeth Therese

O'Connor, Maribeth Therese is an sole proprietor health care provider with primary practice located at 15924 Ozark Ave , Tinley Park IL 60477-1403. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. O'Connor, Maribeth Therese can be contacted via phone (708) 444-7467.

Contact Information

Primary practice address
15924 Ozark Ave Tinley Park IL 60477-1403
Phone: (708) 444-7467
Fax: (708) 429-5077
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X Illinois

Profile Details

NPI number 1548395767
LBN Legal business name O'Connor, Maribeth Therese
Credentials OTR L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2007
Last updated Jul 8th, 2007 - about 17 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 1548395767 NPPES
Illinois Other 1635770 BLUE CROSS BLUE SHIELD

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