O'Hara, Raymond T

O'Hara, Raymond T is an individual health care provider with primary practice located at 929 W Higgins Rd , Schaumburg IL 60195-3203. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. O'Hara, Raymond T can be contacted via phone (847) 285-4200.

Contact Information

Primary practice address
929 W Higgins Rd Schaumburg IL 60195-3203
Fax: (847) 885-0130
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 016-005174 Illinois

Profile Details

NPI number 1669463022
LBN Legal business name O'Hara, Raymond T
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Jul 6th, 2020 - about 4 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 1669463022 NPPES
Illinois MEDICAID 016005174
Illinois Other P00311695

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