Active NPI
Debra a. O'Connor LTD
- Family Medicine Physician
- Chicago, IL
National Provider Identifier
1952429359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- DEBRA A. O'CONNOR LTD
- Practice address
- 2835 N Sheffield Ave
Suite 104
Chicago, IL 60657-5081 - Phone
- (773) 472-3704
- NPI assigned
- Mar 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amanda Pulak
- Title
- Billing Manager
- Phone
- (630) 315-3981
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | IL | Primary |
Addresses
Primary practice location
2835 N Sheffield Ave
Suite 104
Chicago, IL 60657-5081
Mailing address
2835 N Sheffield Ave
Suite 104
Chicago, IL 60657-5081
Phone (773) 472-3704
National Provider Directory
National Provider DirectoryLocations
903 Commerce Dr
Ste 160
Oak Brook, IL 60523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1952429359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2835 N SHEFFIELD AVE",
"address_2": "SUITE 104",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606575081",
"telephone_number": "773-472-3704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2835 N SHEFFIELD AVE",
"address_2": "SUITE 104",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606575081",
"telephone_number": "773-472-3704"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEBRA A. O'CONNOR LTD",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-26",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PULAK",
"authorized_official_first_name": "AMANDA",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "630-315-3981"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.