RICHARD E ODONNELL DO SC

EVERGREEN PARK, IL
NPI1144421017
Entity TypeOrganization
Authorized ContactKIM WYLIE
Office Manager
708-799-8440
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036070978)
Enumeration Date2007-05-30
Last Update Date2007-10-31
Business Address
RICHARD E ODONNELL DO SC
3927 W 95TH ST
EVERGREEN PARK, IL 60805-1903
Phone number: 708-799-8440
Mailing Address
RICHARD E ODONNELL DO SC
18141 DIXIE HWY STE 107
HOMEWOOD, IL 60430-2241
Phone number: