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Contact Information

JON OLSEN
1775 DEMPSTER
PARK RIDGE, IL60068
 Phone: 847-723-7624
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for JON OLSEN · (Male)

NPI # 1083783930
Status Active
Credentials
Entity Individual
Enumeration date 11/07/2006
Last updated 02/20/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036075520
  • IL Medicaid 036075520
Hospital affiliation(s)
  • ADVOCATE LUTHERAN GENERAL HOSPITAL - (Acute Care)
    1775 DEMPSTER ST
    PARK RIDGE, IL 60068
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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