Organization
ALLAN J OLTHOFF DO SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLAN J OLTHOFF DO (PRESIDENT)
(312) 623-3007
Entity
Organization
Contact information
Practice address
400 LAKE COOK RD, 200C, DEERFIELD, IL 60015-5607
(847) 267-0260
(847) 282-3862
Mailing address
4524 S OAKENWALD AVE, CHICAGO, IL 60653-4514
(312) 623-3007
(847) 282-3862
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
036064582
IL
Other
Enumeration date
02/14/2007
Last updated
07/31/2008
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