Individual
MR. RICHARD NEAL OLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7447 W TALCOTT, SUITE 427, CHICAGO, IL 60631-3745
(773) 631-9699
(773) 631-4299
Mailing address
7447 W TALCOTT, SUITE 427, CHICAGO, IL 60631-3745
(773) 990-4024
(773) 990-4029
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036075283
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020012234
RAILROAD MEDICARE
IL
05
—
036075283
—
IL
Enumeration date
08/03/2006
Last updated
06/02/2022
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