Individual
YURIY ANDREY OLSHANNIKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, BSN, APRN, RN
Contact information
Practice address
1775 W DEMPSTER ST, PARK RIDGE, IL 60068-1143
(847) 723-2210
(847) 723-4412
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
041428458
IL
363LA2100X
Acute Care Nurse Practitioner
Primary
209029060
IL
363LP0200X
Pediatric Nurse Practitioner
209029060
IL
Other
Enumeration date
03/07/2024
Last updated
04/03/2025
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