Individual provider Active NPI

Terence Eamon O'Hare, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Chicago, IL
National Provider Identifier
1891943478
Registry record updated Sep 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
036104044 Issued in IL
Practice address
676 N Michigan Ave
Suite 3850
Chicago, IL 60611-2883
Phone
(312) 642-4481
Fax
(312) 642-9603
NPI assigned
Sep 8, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 036104044 IL Primary

Addresses

Primary practice location

676 N Michigan Ave
Suite 3850
Chicago, IL 60611-2883

Mailing address

676 N Michigan Ave
Suite 3850
Chicago, IL 60611-2883
Phone (312) 642-4481

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036104044ILMDPlastic and Reconstructive Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220832000000",
    "number": "1891943478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 N MICHIGAN AVE",
            "address_2": "SUITE 3850",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112883",
            "telephone_number": "312-642-4481",
            "fax_number": "312-642-9603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 N MICHIGAN AVE",
            "address_2": "SUITE 3850",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112883",
            "telephone_number": "312-642-4481",
            "fax_number": "312-642-9603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HARE",
        "first_name": "TERENCE",
        "middle_name": "EAMON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-08",
        "last_updated": "2008-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "IL",
            "license": "036104044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.