Individual
DR. OLIVER M. OLEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(910) 615-5610
(915) 615-5080
Mailing address
300 RANDALL RD, GENEVA, IL 60134-4200
(630) 933-4700
(630) 933-4427
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036114777
IL
207R00000X
Internal Medicine Physician
2018-01608
NC
208M00000X
Hospitalist Physician
036114777
IL
208M00000X
Hospitalist Physician
Primary
2018-01608
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036114777
MEDICAID
IL
05
—
036114777
—
IL
01
—
206147
MEDICARE PTAN GROUP
IL
01
—
F400230038
MEDICARE PTAN INDIVIDUAL
IL
Enumeration date
05/24/2006
Last updated
09/02/2025
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