Individual
DR. RAYMOND T O'HARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
929 W HIGGINS RD, SCHAUMBURG, IL 60195-3203
(847) 285-4200
(847) 885-0130
Mailing address
929 W HIGGINS RD, SCHAUMBURG, IL 60195-3203
(847) 285-4200
(847) 885-0130
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016-005174
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016005174
—
IL
01
—
P00311695
MEDICARE RAILROAD
IL
Enumeration date
11/03/2005
Last updated
07/06/2020
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