| Olson Psycare Pc | |
|
100 Village Grn Ste 220 Lincolnshire IL 60069-3094 | |
| (847) 415-5077 | |
| (847) 793-8892 |
| Full Name | Olson Psycare Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 100 Village Grn, Lincolnshire, Illinois |
| Authorized Official Name and Position | David R Olson (PRESIDENT) |
| Authorized Official Contact | 8474155077 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Olson Psycare Pc 100 Village Grn Ste 220 Lincolnshire IL 60069-3094 Ph: (847) 415-5077 | Olson Psycare Pc 100 Village Grn Ste 220 Lincolnshire IL 60069-3094 Ph: (847) 415-5077 |
| NPI Number | 1548456833 |
|---|---|
| Provider Enumeration Date | 09/20/2007 |
| Last Update Date | 09/11/2010 |
| Medicare PECOS PAC ID | 2769551084 |
|---|---|
| Medicare Enrollment ID | O20080513000321 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548456833 | NPI | - | NPPES |
| 01619325 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 060005987 (Illinois) | Primary |
| Provider Name | Christine Ann Olson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245348952 PECOS PAC ID: 7012086341 Enrollment ID: I20101112001141 |
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