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General NPI Number Information
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NPI Number | 1629634993
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Entity Type | Individual
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Provider Name | ORLA MICHELLE MCCARTHY BM BS
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Gender | Female
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Dates
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Enumeration Date | 05/13/2019
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | DEPT OF RADIOLOGY 676 N ST CLAIR ST, SUITE 800
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City | CHICAGO
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State | IL
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Zip | 60611
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Country | US
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Telephone | 312-926-1854
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Fax |
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Provider Business Mailing Address
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Address Line | DEPT OF RADIOLOGY 676 N ST CLAIR ST, SUITE 800
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City | CHICAGO
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State | IL
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Zip | 60611
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Country | US
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Telephone | 312-926-1854
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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 | 30285
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 125.083126
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License Number State | IL
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