Individual
CHRISTOPHER MICHAEL OLESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3501 NORTHEAST PKWY, LINCOLNWOOD, IL 60712-3757
(847) 973-6262
Mailing address
2840 ELM ST, FRANKLIN PARK, IL 60131-3034
(708) 296-2654
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160006243
IL
Other
Enumeration date
09/18/2021
Last updated
09/18/2021
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