MEDICARE: CHARLES LOREN OBRIEN III MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	036057256	IL

General Provider Information

NPI Number	:	1124050182
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLES LOREN OBRIEN III MD

Provider Business Mailing Address
First Line	:	49 S WAUKEGAN RD STE 100
Second Line	:
City	:	DEERFIELD
State	:	IL
Zip	:	60015-5204
Country	:	US
Telephone Number	:	847-945-4575
Fax Number	:	847-945-4593

Provider Business Practice Location Address
First Line	:	49 S WAUKEGAN RD STE 100
Second Line	:
City	:	DEERFIELD
State	:	IL
Zip	:	60015-5204
Country	:	US
Telephone Number	:	847-945-4575
Fax Number	:	847-945-4593

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	10/13/2020

Similar Medicare Providers

1851038822 — WALGREEN CO
Practice Location Address:

95 S WAUKEGAN RD STE A
DEERFIELD, IL
60015-5204

Practice Phone: 847-400-0254
Practice Fax:

1932127701 — BELINDA CHEN MD
Practice Location Address:

49 S WAUKEGAN RD STE 100
DEERFIELD, IL
60015-5204

Practice Phone: 847-945-4575
Practice Fax: 847-945-4593

1083633804 — BENJAMIN SHAIN MD
Practice Location Address:

49 S WAUKEGAN RD STE 200
DEERFIELD, IL
60015-5204

Practice Phone: 847-400-8400
Practice Fax: 847-400-8445

1386890416 — SARA WIEMER M.D.
Practice Location Address:

49 S WAUKEGAN RD STE 100
DEERFIELD, IL
60015-5204

Practice Phone: 847-945-4575
Practice Fax: 847-400-8319

1922254911 — DR. NINA NI LIU MD
Practice Location Address:

49 S WAUKEGAN RD , DEERFIELD
DEERFIELD, IL
60015-5204

Practice Phone: 847-400-8400
Practice Fax: 847-400-8445

1639465131 — DR. ANDREW C JOHNSON MD
Practice Location Address:

49 S WAUKEGAN RD STE 100
DEERFIELD, IL
60015-5204

Practice Phone: 847-945-4575
Practice Fax:

Directions to “ CHARLES LOREN OBRIEN III MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.