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NPI 1013013119

NPI 1013013119 : WILLIAM T O'ROURKE MD : LOMBARD, IL

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General NPI Number Information
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    NPI Number           |    1013013119
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    Entity Type          |    Individual 
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    Provider Name        |    WILLIAM T O'ROURKE MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/15/2006
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    Last Update Date     |    07/28/2025
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Provider Practice Location Address
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    Address Line         |    454 E ROOSEVELT RD 
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    City                 |    LOMBARD
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    State                |    IL
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    Zip                  |    60148-4630
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    Country              |    US
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    Telephone            |    630-387-6424
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    Fax                  |    630-387-6425
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Provider Business Mailing Address
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    Address Line         |    29373 NETWORK PL 
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    City                 |    CHICAGO
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    State                |    IL
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    Zip                  |    60673-1293
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    Country              |    US
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    Telephone            |    847-390-5900
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    36-096382
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    License Number State |    IL
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Taxonomy #2
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    036096382
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    License Number State |    IL
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