Individual
DR. STEPHAN ANDREW OLAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(773) 702-6840
Mailing address
150 HARVESTER DR STE 300, BURR RIDGE, IL 60527-5965
(773) 702-5957
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.078276
IL
208M00000X
Hospitalist Physician
Primary
036169885
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2021
Last updated
07/10/2024
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