Organization
OLGA LANSKY MD, SC
Active
Other names
Western Foster Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IRENE I BRUSILOVSKY (OFFICE MANAGER)
(773) 784-1000
Entity
Organization
Contact information
Practice address
5214 N WESTERN AVE, SUITE 102, CHICAGO, IL 60625-2589
(773) 784-1000
(773) 784-1398
Mailing address
5214 N WESTERN AVE, SUITE 102, CHICAGO, IL 60625-2589
(773) 784-1000
(773) 784-1398
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
IL
Other
Enumeration date
07/20/2005
Last updated
07/21/2022
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