O'Hara, Mary Kathleen

O'Hara, Mary Kathleen is an sole proprietor health care provider with primary practice located at 2625 Butterfield Rd Suite 103W, Oak Brook IL 60523-1234. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. O'Hara, Mary Kathleen can be contacted via phone (630) 571-8784.

Contact Information

Primary practice address
2625 Butterfield Rd Suite 103W Oak Brook IL 60523-1234
Phone: (630) 571-8784
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 2461 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X 180004804 Illinois
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 166000225 Illinois

Profile Details

NPI number 1013074913
LBN Legal business name O'Hara, Mary Kathleen
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2007
Last updated Feb 15th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013074913 NPPES
Illinois Other 02232178 BLUE CROSS BLUE SHIELD

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