Provider Demographics
NPI:1770246829
Name:ORIGER, MARY CAROLINE (BS, BSN, MSN, NP-C)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:CAROLINE
Last Name:ORIGER
Suffix:
Gender:F
Credentials:BS, BSN, MSN, NP-C
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:CAROLINE
Other - Last Name:O'KELLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN
Mailing Address - Street 1:3901 MERCY DR
Mailing Address - Street 2:
Mailing Address - City:MCHENRY
Mailing Address - State:IL
Mailing Address - Zip Code:60050-3151
Mailing Address - Country:US
Mailing Address - Phone:844-599-3700
Mailing Address - Fax:815-363-5707
Practice Address - Street 1:3901 MERCY DR
Practice Address - Street 2:
Practice Address - City:MCHENRY
Practice Address - State:IL
Practice Address - Zip Code:60050-3151
Practice Address - Country:US
Practice Address - Phone:844-599-3700
Practice Address - Fax:815-363-5707
Is Sole Proprietor?:No
Enumeration Date:2021-10-15
Last Update Date:2021-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.024175207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine