Individual
DR. ELAINE ELIZABETH OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 VILLAGE GREEN DR, #220, LINCOLNSHINE, IL 60069-3095
(847) 793-8890
(847) 793-8894
Mailing address
PO BOX 1226, PARK RIDGE, IL 60068
(847) 793-8890
(847) 793-8892
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21621708
BLUECROSS BS
IL
Enumeration date
09/27/2005
Last updated
02/22/2008
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