Provider Demographics
NPI:1891943478
Name:O'HARE, TERENCE EAMON (MD)
Entity Type:Individual
Prefix:DR
First Name:TERENCE
Middle Name:EAMON
Last Name:O'HARE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:676 N MICHIGAN AVE
Mailing Address - Street 2:SUITE 3850
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-2883
Mailing Address - Country:US
Mailing Address - Phone:312-642-4481
Mailing Address - Fax:312-642-9603
Practice Address - Street 1:676 N MICHIGAN AVE
Practice Address - Street 2:SUITE 3850
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2883
Practice Address - Country:US
Practice Address - Phone:312-642-4481
Practice Address - Fax:312-642-9603
Is Sole Proprietor?:No
Enumeration Date:2008-09-08
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0361040442086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery