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General NPI Number Information
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NPI Number | 1235112269
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Entity Type | Individual
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Provider Name | KAREN O'MARA D.O.
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Gender | Female
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Dates
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Enumeration Date | 11/23/2005
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 9555 S 52ND AVE
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City | OAK LAWN
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State | IL
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Zip | 60453-3054
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Country | US
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Telephone | 708-684-6867
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Fax | 708-684-6869
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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 | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | 036057006
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 05-43634
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 036-057006
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License Number State | IL
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