Minna Jinn O'Leary, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036107606 Issued in IL

Practice address

221 NE Glen Oak Ave
Peoria, IL 61636

Phone

(309) 495-1670

Fax

(708) 216-9033

NPI assigned

Mar 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Minna Desiree Jinn Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Institute for Personal Development

  • Psychiatry Physician
  • Morris, IL
  • NPI 1942247895
  NPD (past)
• Loyola University Physician Foundation

  • General Practice Physician
  • Maywood, IL
  • NPI 1235148891
  NPD (past)
• Preventative Mental Healthcare Services

  • Clinical Psychologist
  • Downers Grove, IL
  • NPI 1407984131
  NPD (past)
• Synergos P.C.

  • Psychiatry Physician
  • Chicago, IL
  • NPI 1609882422
  NPD (past)

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361750400000",
    "number": "1871560623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 NE GLEN OAK AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "61636",
            "telephone_number": "309-495-1670",
            "fax_number": "708-216-9033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 NE GLEN OAK AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "61636",
            "telephone_number": "309-495-1670",
            "fax_number": "708-216-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'LEARY",
        "first_name": "MINNA",
        "middle_name": "JINN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-01",
        "last_updated": "2013-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "36107606",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036107606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36107606",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MINNA",
            "last_name": "JINN",
            "middle_name": "DESIREE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ernest A Nwani, D.P.M.
• Claudia Yeah Dibouh Nyoh-Tabi, STUDENT
• Eilidh O'Brien
• Julie L O'Brien, APN, CNS
• Danielle O'Hare, MD
• Patrick T O'Leary, MD
• Oak Vista Counseling PLLC
• Grace Oatman
• Fiyin Obajuluwa
• Stephanie Ann Ober, APN

• Psychiatry Physician in Peoria, IL
• Providers in Peoria, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; 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.