Individual
IRA A OLIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9711 SKOKIE BLVD, STE A, SKOKIE, IL 60077-1384
(847) 568-9930
(847) 568-9932
Mailing address
62311 COLLECTION CENTER DR, CHICAGO, IL 60693-0623
(847) 568-9930
(847) 568-9932
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
036098898
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036098898
—
IL
Enumeration date
10/18/2005
Last updated
03/24/2021
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