TIMOTHY OLSEN


Address: 5905 W Eastwood Ave, Chicago, IL 60630-3104
Phone: 3125455247

TIMOTHY OLSEN (NPI# 1699223370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699223370
Entity Type Individual
Full Name TIMOTHY OLSEN
Practice Address 5905 W Eastwood Ave
Chicago
IL 60630-3104
Practice Telephone 3125455247
Mailing Telephone 3125455247
Enumeration Date 2016-09-12
Last Update Date 2016-09-12
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Other Providers TIMOTHY OLSEN

NPI Name Taxonomy Address Enumeration
1316465925 Timothy Brian Olsen Physician Assistant 621 Ridge Road, Lead, SD 57754 2017-09-03
1629456876 Timothy Lawrence Olsen Social Worker 2250 Leestown Rd, Lexington, KY 40511-1052 2015-05-08
1235478843 Timothy R Olsen Physician Assistant 2405 Atherholt Rd, Lynchburg, VA 24501-2184 2013-02-04
1770688376 Timothy W Olsen Ophthalmology 200 1st St Sw, Rochester, MN 55905-1013 2006-09-14

Office Location

Street Address 5905 W EASTWOOD AVE
City CHICAGO
State IL
Zip Code 60630-3104

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1326450966 Robert E Placzek Dentist 5650 W. Lawrence Ave., Chicago, IL 60630 2014-06-02
1730426545 Violet Bernadet Mcguane Nurse Practitioner 4801 N Central, Chicago, IL 60630 2013-01-14
1639455231 Jinnah A Caluag Pharmacist 4010 W. Lawrence, Chicago, IL 60630 2011-10-26
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City CHICAGO
Zip Code 60630

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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