Charles J Olaughlin Jr MD SC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

036-053819 Issued in IL

Legal business name

CHARLES J OLAUGHLIN JR MD SC

Practice address

800 Biesterfield Rd
Suite 4009, Brock BLDG
Elk Grove Village, IL 60007-3311

Phone

(847) 364-7717

Fax

(847) 364-7748

NPI assigned

Aug 30, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Charles J O'Laughlin Jr., MDNPI 1821106170

Title

Doctor

Phone

(847) 364-7717

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles J O'Laughlin Jr., MD

  • Orthopaedic Surgery Physician
  • Elk Grove Village, IL
  • NPI 1821106170
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1073623112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD",
            "address_2": "SUITE 4009, BROCK BLDG",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073311",
            "telephone_number": "847-364-7717",
            "fax_number": "847-364-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD",
            "address_2": "SUITE 4009, BROCK BLDG",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073311",
            "telephone_number": "847-364-7717",
            "fax_number": "847-364-7748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES J OLAUGHLIN JR MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "O'LAUGHLIN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "847-364-7717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036-053819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "602320",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036053819",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "2692561",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INS",
            "identifier": "4388872",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILL LICENSE",
            "identifier": "036-053819",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "C34698",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terin Chacko
• Manmeet Kaur Chadha, PHARMD
• Jack R Chamberlin, M.D.
• Alison L Champeau, MSW
• Stillman Chang, M.D.
• Anish Chatterjee, M.D.
• Cynthia Chavez
• Lourdes Chavez, APRN, FNP-BC
• Bhupinder K Chhabra, M.D.
• Vibol Chhong, DPT

• Orthopaedic Surgery Physician in Elk Grove Village, IL
• Providers in Elk Grove Village, IL by specialty
• Orthopaedic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.