| Doctor Name: | MS. MARY KATHLEEN O'HARA |
| NPI Number: | 1013074913 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCPC |
| License Number: | 2461 |
| Business Practice Address: | 2625 Butterfield Rd Suite 103w Oak Brook, IL - 605231234 |
| Business Phone Number: | 6305718784 |
| Business Fax Number: | |
| Mailing Address: | 2625 Butterfield Rd, Suite 103w OAK BROOK |
| State: | IL |
| Postal Code: | 605231234 |
| Phone Number: | 6305718784 |
| Fax Number: | |
| NPI Enumeration Date: | 01/02/2007 |
| NPI Last Update Date: | 02/15/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 2461 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |