Kiersten Judith O'Neill, PA-C
Physician Assistant in Chicago, IL. Individual provider (NPI-1).
NPI number1003430596
StatusActive
Last updated in NPPESAug 21, 2024
Details
- NPI
- 1003430596
- Entity type
- Individual (NPI-1)
- Name
- Kiersten Judith O'Neill
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 1, 2020
- Certification date
- Aug 21, 2024
- Last updated
- Aug 21, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 085008521 | IL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Other names
- Kiersten J Schoenbauer (Other Name)
Practice location
676 N Saint Clair St Ste 2100Chicago, IL 60611-2993
Phone 312-695-1800 · Fax 312-695-4741
Mailing address
676 N Saint Clair St Ste 2100Chicago, IL 60611-2993
Phone 312-695-1800 · Fax 312-695-4741
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