Individual
JACOB OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
1051 W US ROUTE 6, SUITE 400, MORRIS, IL 60450-4200
(815) 942-8301
Mailing address
2001 BUTTERFIELD RD STE 1600, DOWNERS GROVE, IL 60515-1211
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01228316
MEDICARE RAILROAD
IL
Enumeration date
02/03/2011
Last updated
03/03/2025
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