Individual
OLGA MCCAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4S100 N ROUTE 59, UNIT 6, NAPERVILLE, IL 60563-9641
(630) 416-8289
(630) 416-8306
Mailing address
4S100 N ROUTE 59, UNIT 6, NAPERVILLE, IL 60563-9641
(630) 416-8289
(630) 416-8306
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085002443
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036099362
MEDICAL LICENSE
IL
Enumeration date
11/19/2009
Last updated
09/30/2010
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