Organization
CHARLES J OLAUGHLIN JR MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES J O'LAUGHLIN JR. MD (DOCTOR)
(847) 364-7717
Entity
Organization
Contact information
Practice address
800 BIESTERFIELD RD, SUITE 4009, BROCK BLDG, ELK GROVE VILLAGE, IL 60007-3311
(847) 364-7717
(847) 364-7748
Mailing address
800 BIESTERFIELD RD, SUITE 4009, BROCK BLDG, ELK GROVE VILLAGE, IL 60007-3311
(847) 364-7717
(847) 364-7748
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036-053819
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-053819
ILL LICENSE
—
05
—
036053819
—
IL
01
—
2692561
CAQH
—
01
—
4388872
AETNA INS
—
01
—
602320
MEDICARE
IL
01
—
C34698
LICENSE
CA
Enumeration date
08/30/2006
Last updated
03/07/2023
Update your record
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