Provider Demographics
NPI:1447316443
Name:OCONNOR, MAUREEN SAUVAIN (MSW)
Entity type:Individual
Prefix:MS
First Name:MAUREEN
Middle Name:SAUVAIN
Last Name:OCONNOR
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:MAUREEN
Other - Middle Name:
Other - Last Name:SAUVAIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:1103 WESTGATE
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60301
Mailing Address - Country:US
Mailing Address - Phone:708-386-1761
Mailing Address - Fax:
Practice Address - Street 1:1103 WESTGATE ST
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60301-1088
Practice Address - Country:US
Practice Address - Phone:708-386-1761
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2011-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490002831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical