Individual
CHARLES LOREN OBRIEN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
49 S WAUKEGAN RD STE 100, DEERFIELD, IL 60015-5204
(847) 945-4575
(847) 945-4593
Mailing address
49 S WAUKEGAN RD STE 100, DEERFIELD, IL 60015-5204
(847) 945-4575
(847) 945-4593
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036057256
IL
Other
Enumeration date
07/07/2006
Last updated
10/13/2020
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