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Contact Information

BRIAN P OLOFSSON, MD
400 N WALL
SUITE 510
KANKAKEE, IL60901
 Phone: 815-932-5725
 Fax: 815-932-5872
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for BRIAN P OLOFSSON · (Male)

NPI # 1073604534
Status Active
Credentials MD
Entity Individual
Enumeration date 09/27/2006
Last updated 12/04/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036067325
  • IL Medicaid 036067325
Hospital affiliation(s)
  • CENTRAL DUPAGE HOSPITAL - (Acute Care)
    25 NORTH WINFIELD ROAD
    WINFIELD, IL 60190
  • PROVENA ST MARYS HOSPITAL - (Acute Care)
    500 W COURT ST
    KANKAKEE, IL 60901
  • RIVERSIDE MEDICAL CENTER - (Acute Care)
    350 N WALL ST
    KANKAKEE, IL 60901
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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