Individual
BRIAN OLSBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
378 HILLCREST AVE, HAMPSHIRE, IL 60140-9453
(847) 770-2645
Mailing address
378 HILLCREST AVE, HAMPSHIRE, IL 60140-9453
(847) 770-2645
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
056-001744
IL
Other
Enumeration date
03/09/2014
Last updated
03/09/2014
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