NPI | 1205943107 |
---|---|
Doing Business As | DEREK R OLSON DO |
Entity Type | Organization |
Authorized Contact | LEN DEDIC Vice President 708-583-6818 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036113363) |
Enumeration Date | 2006-08-24 |
Last Update Date | 2007-10-26 |