Active NPI
Jeffrey L Olejnik LLC
- Obstetrics & Gynecology Physician
- Jacksonville, IL
National Provider Identifier
1053351874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- JEFFREY L OLEJNIK LLC
- Practice address
- 1600 W Walnut St
Jacksonville, IL 62650-1136 - Phone
- (217) 243-5930
- Fax
- (217) 243-8073
- NPI assigned
- Jun 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Courtney McMahan
- Title
- Office Manager
- Phone
- (217) 243-5930
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
1600 W Walnut St
Jacksonville, IL 62650-1136
Mailing address
PO Box 1977
Springfield, IL 62705-1977
Phone (217) 544-6464
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC0359 | Other | IL | RAILROAD MEDICARE |
| 06932015 | Other | IL | BLUE CROSS BLUE SHIELD |
| 567115 | Other | IL | HEALTHLINK |
Other names 1
- FOCUS ON WOMENS HEALTH
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Jacksonville, IL
- NPI 1598727620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1053351874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1977",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627051977",
"telephone_number": "217-544-6464",
"fax_number": "217-757-6021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 W WALNUT ST",
"city": "JACKSONVILLE",
"state": "IL",
"postal_code": "626501136",
"telephone_number": "217-243-5930",
"fax_number": "217-243-8073"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFREY L OLEJNIK LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MCMAHAN",
"authorized_official_first_name": "COURTNEY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "217-243-5930"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DC0359",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "06932015",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "567115",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "FOCUS ON WOMENS HEALTH",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jacksonville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.