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Search › Illinois › 122300000X

Derek Oconnor, DDS

NPI 1376112698 · on the registry since 2021 · sole proprietor

Practice

Address
801 Main St Nw
Bourbonnais, IL 60914
Phone
(815) 932-3516
Organisation at this address
Kelly L Oconnor Dds Pc
Main Street Dentistry Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-06-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois