Individual
MR. GEORGE F OLIVIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P-AC
Contact information
Practice address
511 W FAIRCHILD ST, DANVILLE, IL 61832-3801
(217) 431-2025
(217) 431-0014
Mailing address
511 W FAIRCHILD ST, DANVILLE, IL 61832-3801
(217) 431-2025
(217) 431-0014
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
85002794
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
85002794
STATE LICENSE NUMBER
IL
Enumeration date
09/07/2006
Last updated
07/08/2007
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