Olson, Christine Ann

Olson, Christine Ann is an individual health care provider with primary practice located at 1020 Milwaukee Ave Ste 208 , Deerfield IL 60015-3587. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Olson, Christine Ann can be contacted via phone (847) 379-1415.

Contact Information

Primary practice address
1020 Milwaukee Ave Ste 208 Deerfield IL 60015-3587
Fax: (847) 739-7077
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 336045881 Illinois

Profile Details

NPI number 1245348952
LBN Legal business name Olson, Christine Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Nov 6th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245348952 NPPES
Illinois MEDICAID 03619325
Illinois Other 01619325

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