Individual
JENNIFER OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1725 W HARRISON ST STE 1106, CHICAGO, IL 60612-3845
(312) 563-3447
Mailing address
1725 W HARRISON ST STE 1106, CHICAGO, IL 60612-3845
(312) 563-3447
Taxonomy
Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
Primary
036.160348
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2018
Last updated
06/28/2022
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