Individual
DR. CHARLES J O'LAUGHLIN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 BIESTERFIELD RD, STE 4009 BROCK BLDG, ELK GROVE VILLAGE, IL 60007-3311
(847) 364-7717
(847) 364-7748
Mailing address
800 BIESTERFIELD RD, STE 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
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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