Peter Odonnell
Internal Medicine in Chicago, IL. Individual provider (NPI-1).
NPI number1861695819
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1861695819
- Entity type
- Individual (NPI-1)
- Name
- Peter Odonnell
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 7, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 336077032 | IL | Yes |
Practice location
5841 S Maryland AveMc 2115
Chicago, IL 60637-1447
Phone 773-702-4400
Mailing address
5841 S Maryland AveMc 2115
Chicago, IL 60637-1447
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