NPI 1083783930

Jon Olsen

Practitioner Emergency Medicine Physician Park Ridge, IL

Practice location

Address: 1775 Dempster, Park Ridge, IL 60068
Phone: (847) 723-7624
Mailing address: 29373 Network Pl, Chicago, IL 60673-1293

Registered specialties

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 036075520 (IL)

Other Emergency Medicine providers in Illinois →

Registry record

NPI: 1083783930
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Nov 2006
Record last updated: 20 Feb 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.