Provider Demographics
NPI:1356355077
Name:OREILLY MEDICAL CONSULTANTS
Entity type:Organization
Organization Name:OREILLY MEDICAL CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:OREILLY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:708-361-4778
Mailing Address - Street 1:12150 S HARLEM AVE
Mailing Address - Street 2:
Mailing Address - City:PALOS HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60463-1435
Mailing Address - Country:US
Mailing Address - Phone:708-361-4778
Mailing Address - Fax:708-361-4799
Practice Address - Street 1:12150 S HARLEM AVE
Practice Address - Street 2:
Practice Address - City:PALOS HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60463-1435
Practice Address - Country:US
Practice Address - Phone:708-361-4778
Practice Address - Fax:708-361-4799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-28
Last Update Date:2009-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL4589490001Medicare NSC