O'Connor, Scott M

O'Connor, Scott M is an individual health care provider with primary practice located at 2111 Ogden Ave , Aurora IL 60504-7597. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. O'Connor, Scott M can be contacted via phone (630) 978-3800.

Contact Information

Primary practice address
2111 Ogden Ave Aurora IL 60504-7597
Phone: (630) 978-3800
Fax: (630) 862-3085
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036069908 Illinois

Profile Details

NPI number 1700861408
LBN Legal business name O'Connor, Scott M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Jul 20th, 2020 - about 4 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 1700861408 NPPES
Illinois Other CF4193 MEDICARE RAIL ROAD
Illinois MEDICAID 036069908 MEDICARE RAIL ROAD

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