Olson, Jacqueline Lorraine

Olson, Jacqueline Lorraine is an sole proprietor health care provider with primary practice located at 2650 Ridge Ave , Evanston IL 60201-1700. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Olson, Jacqueline Lorraine can be contacted via phone (847) 570-2868.

Contact Information

Primary practice address
2650 Ridge Ave Evanston IL 60201-1700
Phone: (847) 570-2868
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085.010139 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 085010139 Illinois

Profile Details

NPI number 1316668494
LBN Legal business name Olson, Jacqueline Lorraine
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2022
Last updated Feb 27th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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