Organization
OLSON PSYCARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID R OLSON MD (PRESIDENT)
(847) 415-5077
Entity
Organization
Contact information
Practice address
100 VILLAGE GRN, STE 220, LINCOLNSHIRE, IL 60069-3094
(847) 415-5077
(847) 793-8892
Mailing address
100 VILLAGE GRN, STE 220, LINCOLNSHIRE, IL 60069-3094
(847) 415-5077
(847) 793-8892
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
060005987
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01619325
BLUE CROSS BLUE SHIELD
IL
Enumeration date
09/20/2007
Last updated
09/11/2010
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