Provider Demographics
NPI:1912281395
Name:OCONNOR, KATHERINE (DC)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:OCONNOR
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:
Other - Last Name:WEESSIES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:2625 BUTTERFIELD RD
Mailing Address - Street 2:STE 301N
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1234
Mailing Address - Country:US
Mailing Address - Phone:630-320-6400
Mailing Address - Fax:630-701-1007
Practice Address - Street 1:7202 W COLLEGE DR
Practice Address - Street 2:STE C
Practice Address - City:PALOS HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60463-1175
Practice Address - Country:US
Practice Address - Phone:708-274-4139
Practice Address - Fax:708-274-4102
Is Sole Proprietor?:No
Enumeration Date:2011-10-04
Last Update Date:2015-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-011954111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor