Individual
OLIVIA M NIEPSUJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
800 N WESTMORELAND RD STE 100, LAKE FOREST, IL 60045-1671
(847) 535-7657
(847) 998-9303
Mailing address
800 N WESTMORELAND RD STE 100, LAKE FOREST, IL 60045-1671
(847) 535-7657
(847) 998-9303
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085007686
IL
Other
Enumeration date
08/23/2019
Last updated
05/23/2022
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