Brian Olofsson Md, Llc

LBN: Brian Olofsson Md, Llc
Brian Olofsson Md, Llc is an health care organization with primary practice located at 400 N Wall St Ste 510 , Kankakee IL 60901-2965. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Brian Olofsson Md, Llc can be contacted via phone (815) 932-5725, or through Olofsson, Brian via phone (815) 932-5725.

Contact Information

Primary practice address
400 N Wall St Ste 510 Kankakee IL 60901-2965
Phone: (815) 932-5725
Fax: (815) 932-5872
Website:
Map and Directions
Authorized official contact:
Name: Olofsson, Brian Doctor of Medicine (MD)
Phone: (815) 932-5725

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1871067496
LBN Legal business name Brian Olofsson Md, Llc
DBA Doing business as
Authorized official Olofsson, Brian Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2019
Last updated Jan 16th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1871067496 NPPES
Illinois MEDICAID 036067325

Popular Providers