Diane L O'Connor, RNFA

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

041218725 Issued in IL

Practice address

2850 W 95TH St
Evergreen Park, IL 60805-2735

Phone

(708) 952-1030

Fax

(708) 952-1032

NPI assigned

Jan 17, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1295222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295222400000",
    "number": "1003111469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13309 E RED COAT DR",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604398155",
            "telephone_number": "630-207-4419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 W 95TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052735",
            "telephone_number": "708-952-1030",
            "fax_number": "708-952-1032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "DIANE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "RNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-17",
        "last_updated": "2011-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "IL",
            "license": "041218725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Niezgoda, WHNP
• Chadi Nouneh, M.D
• Nova Medico SC
• Kristin E Novak
• Anne Marie Novotny, LPC
• Lauren Marie O'Connor
• Mary Lou O'Keefe, PA-C
• Michael O'Mara, D.O.
• Oak Street Pharmacy
• Ejikeme O Obasi, MD

• Registered Nurse First Assistant in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Registered Nurse First Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.