Olson, Jack C

Olson, Jack C is an individual health care provider with primary practice located at 1725 W Harrison St Suite 319, Chicago IL 60612-3841. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Olson, Jack C can be contacted via phone (312) 942-7030.

Contact Information

Primary practice address
1725 W Harrison St Suite 319 Chicago IL 60612-3841
Phone: (312) 942-7030
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X Illinois

Profile Details

NPI number 1417906637
LBN Legal business name Olson, Jack C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2006
Last updated Jul 8th, 2007 - about 17 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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