Organization
OLSON PAIN & STRESS MANAGEMENT ASSOCIATES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELAINE E OLSON MD (PRESIDENT)
(847) 793-8890
Entity
Organization
Contact information
Practice address
100 VILLAGE GREEN DR, #220, LINCOLNSHIRE, IL 60069-3095
(847) 793-8890
(847) 793-8842
Mailing address
PO BOX 1226, PARK RIDGE, IL 60068-7226
(847) 793-8890
(847) 793-8892
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036069815
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036069815
—
IL
01
—
21621708
BLUE CROSS BLUESHIELD
IL
01
—
L62349
MC PIN#
IL
Enumeration date
05/22/2007
Last updated
11/19/2008
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