| Kelly L Oconnor Dds Pc | |
|
801 Main St Nw Bourbonnais IL 60914 | |
| (815) 932-3516 | |
| (815) 932-3516 |
| Full Name | Kelly L Oconnor Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 801 Main St Nw, Bourbonnais, Illinois |
| Authorized Official Name and Position | Kelly L Oconnor (PRESIDENT) |
| Authorized Official Contact | 8159323516 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly L Oconnor Dds Pc 801 Main St Nw Bourbonnais IL 60914 Ph: (815) 932-3516 | Kelly L Oconnor Dds Pc 801 Main St Nw Bourbonnais IL 60914 Ph: (815) 932-3516 |
| NPI Number | 1700981552 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700981552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Illinois) | Primary |
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