Individual
MS. TAYLOR ANNE OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10181 W LINCOLN HWY, FRANKFORT, IL 60423-1274
(815) 464-7212
(815) 464-7251
Mailing address
1245 S MICHIGAN AVE APT 316, CHICAGO, IL 60605-2408
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085008259
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
F4007757056
—
IL
Enumeration date
04/24/2020
Last updated
04/12/2022
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