Individual
DAVID J OLYSAV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 STAHLHUT DR, LINCOLN, IL 62656-5059
(217) 735-9555
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036053129
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036053129
—
IL
Enumeration date
09/27/2005
Last updated
12/17/2012
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