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Individual

DESIREE F OLIVEROS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1975 LIN LOR LANE, SUITE 295, ELGIN, IL 60123-0000
(847) 622-2086
(847) 608-5281
Mailing address
1000 REMINGTON BLVD, SUITE 100 - (ATTN: MELVONNE JONES), BOLINGBROOK, IL 60440-5114
(630) 914-2417
(630) 914-2469

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-112400
IL
207R00000X
Internal Medicine Physician
Primary
036.112400
IL

Other

Enumeration date
08/09/2006
Last updated
03/01/2011
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