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Search › Illinois › 1041C0700X

Kathleen O'Dierno, LCSW

NPI 1760931356 · on the registry since 2016 · sole proprietor

Practice

Address
129 Phelps Ave Ste 1005
Rockford, IL 61108
Phone
(815) 200-4966
Fax
(815) 935-2429
Organisation at this address
Milos Dental Care
Isr Enterprises, Inc.
Virtual Cardiology, Llc
Portable Medical Resources Ltd
Camelot Imaging Solutions, Ltd
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-08-29

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