Organization
ELIS YNGVE OLSON, M.D., P.C.
Active
Other names
KeyCare Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
KARIL ANN WALTHER (VICE PRESIDENT PRACTICE OPERATIONS)
(608) 235-7970
Entity
Organization
Contact information
Practice address
1713 W. DIVERSEY PKWY, SUITE G, CHICAGO, IL 60614
(331) 472-7443
Mailing address
1440 W TAYLOR ST # 227, CHICAGO, IL 60607-4623
(331) 472-7443
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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