Individual
LEAH THERESA OLSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1447
(630) 781-3069
Mailing address
2089 W WABANSIA AVE, 304, CHICAGO, IL 60647-5602
(620) 781-3069
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209.007933
IL
Other
Enumeration date
12/23/2009
Last updated
09/11/2010
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