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Individual
DR. CHARLES J O'LAUGHLIN JR.
Active
Individual
DR. CHARLES J O'LAUGHLIN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036053819
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036053819
LICENSE
IL
05
—
036053819
—
IL
01
—
2692561
CAQH
—
01
—
4388872
AETNA INS
—
01
—
602320
BCBS BLUECROSS
IL
01
—
C34698
LICENSE
CA
Enumeration date
08/28/2006
Last updated
03/07/2023
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