Provider Demographics
NPI:1699911461
Name:O'BRIEN, MAUREEN TERESA (MS, APRN, CNP)
Entity type:Individual
Prefix:
First Name:MAUREEN
Middle Name:TERESA
Last Name:O'BRIEN
Suffix:
Gender:F
Credentials:MS, APRN, CNP
Other - Prefix:
Other - First Name:MAUREEN
Other - Middle Name:O'BRIEN
Other - Last Name:HULSEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, APN, CNP
Mailing Address - Street 1:29373 NETWORK PL
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60673-1293
Mailing Address - Country:US
Mailing Address - Phone:847-390-5900
Mailing Address - Fax:
Practice Address - Street 1:100 VILLAGE GRN STE 120
Practice Address - Street 2:
Practice Address - City:LINCOLNSHIRE
Practice Address - State:IL
Practice Address - Zip Code:60069-3095
Practice Address - Country:US
Practice Address - Phone:847-390-5500
Practice Address - Fax:847-390-5501
Is Sole Proprietor?:No
Enumeration Date:2008-12-30
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209003863363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily