Individual
DEREK S OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1340 E 47TH ST, CHICAGO, IL 60653-4508
(773) 496-5147
(872) 215-9417
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
302169
CA
225100000X
Physical Therapist
Primary
65111
OR
225100000X
Physical Therapist
—
IL
225100000X
Physical Therapist
—
—
Other
Enumeration date
04/20/2021
Last updated
05/08/2024
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