Individual
JEFFREY L OLEJNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
610 N WESTGATE AVE, JACKSONVILLE, IL 62650
(217) 243-8455
(217) 243-7951
Mailing address
610 N WESTGATE AVE, JACKSONVILLE, IL 62650-1152
(217) 243-8455
(217) 243-7951
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036090909
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036090909
—
IL
01
—
06932015
BLUE CROSS BLUE SHIELD
IL
01
—
086246
HEALTH ALLIANCE
IL
01
—
14D1018995
CLIA
IL
01
—
200087204
IRS TAX ID#
IL
01
—
3333333
UMWA
IL
01
—
567115
HEALTHLINK
IL
01
—
DC0359
RAILROAD MEDICARE GROUP N
IL
01
—
P00144121
RAILROAD MEDICARE PIN #
IL
Enumeration date
04/04/2006
Last updated
05/18/2018
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