person
Timothy P Oconnor, MD
Transplant Surgery Physician in Peoria, Illinois
NPI 1710974597

Timothy P Oconnor is a Transplant Surgery Physician based in Peoria, IL. Timothy P Oconnor practices in Peoria, IL and has the professional credentials of MD. The NPI Number for Timothy P Oconnor is 1710974597 and holds a License No. 036090699 (Illinois).

The current practice location address for Timothy P Oconnor is 420 Ne Glen Oak Ave Ste 401, Peoria, IL and can be reached out via phone at 309-676-8123 and via fax at 309-676-8455.

Location: 420 Ne Glen Oak Ave Ste 401, Peoria, IL, 61603-3168
person
Provider Profile Details
NPI Number
1710974597
Provider Name
Timothy P Oconnor
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
420 Ne Glen Oak Ave Ste 401, Peoria, IL, 61603-3168
Phone Number
309-676-8123
Fax Number
309-676-8455
Provider Enumeration Date
10/05/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036090699 05 IL
institution
Provider Business Practice Location Address Details
Address
420 Ne Glen Oak Ave Ste 401
City
State
Zip
61603
Phone Number
309-676-8123
Fax Number
309-676-8455
person
Provider Business Mailing Address Details
Address
420 Ne Glen Oak Ave Ste 401
City
State
Zip
61603
Phone Number
309-676-8123
Fax Number
309-676-8455
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Transplant Surgery
Speciality
-
Taxonomy
License No.
036090699 (Illinois)
Definition
Definition to come.
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