Brian Patrick Olofsson (NPI# 1073604534, PAC ID# 5395835656) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1073604534 |
| PAC ID by PECOS | 5395835656 |
| Professional Enrollment ID | I20071226000468 |
| Full Name | Brian Patrick Olofsson |
| Address |
350 N Wall Kankakee IL 60901-2901 |
| Phone Number | 8159331671 |
| Gender | M |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 1982 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140186 | RIVERSIDE MEDICAL CENTER |
| 140242 | CENTRAL DUPAGE HOSPITAL |
| 140155 | PRESENCE ST MARYS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 350 N Wall, Kankakee, IL 60901-2901 | 8159331671 | |
| 400 N Wall St, Suite 510, Kankakee, IL 60901-2965 | 8159325725 | |
| 500 W Court St, Provena St Marys Hospital, Kankakee, IL 60901-3661 | 8159372490 |
| Street Address |
350 N WALL |
| City | KANKAKEE |
| State | IL |
| Zip | 60901-2901 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Van H Do | Physical Medicine and Rehabilitation | Medical Services Ric | 836 W Wellington Ave, Chicago, IL 60901 |
| Jana M Wahlen | Qualified Audiologist | Riverside Health System | 43 Meadowview Ctr D, Kankakee, IL 60901-2041 |
| Robert A Raley | Podiatry | 70 Meadowview Ctr, Suite 401, Kankakee, IL 60901-2061 | |
| Harris Waheed | Family Medicine | 70 Meadowview Ctr, Suite 200, Kankakee, IL 60901-2063 | |
| Tammie O Henderson | Nurse Practitioner | Riverside Health System | 1701 E Court St, Kankakee, IL 60901-2670 |
| Kaitlain Cavender | Nurse Practitioner | Riverside Health System | 1701 E Court St, Kankakee, IL 60901-2670 |
| Olatunji R Akintilo | Family Medicine | Riverside Health System | 1701 E Court St, Kankakee, IL 60901-2670 |
| Keyoma Jamerson | Nurse Practitioner | Riverside Health System | 1701 E Court St, Kankakee, IL 60901-2670 |
| Samuel G Deguzman | Internal Medicine | 450 N Kennedy Dr, Kankakee, IL 60901-2900 | |
| Lawrence C Wang | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 350 N Wall St, Kankakee, IL 60901-2901 |
| Find all physicians in zip 60901 | |||
| City | KANKAKEE |
| Zip Code | 60901 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | KANKAKEE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Brian Patrick Olofsson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.