Donald Erick Olofsson, D.O.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Practice address

2475 Bethany Rd
Sycamore, IL 60178-3116

Phone

(815) 748-3674

NPI assigned

Jul 2, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Consultants in Diagnostic Imaging SC

  • Diagnostic Radiology Physician
  • Dekalb, IL
  • NPI 1396851713

  Diagnostic Radiology

  NPD (past)
• South Carolina Diagnostic Imaging, Inc

  • Diagnostic Radiology Physician
  • Greenville, SC
  • NPI 1346470747

  Diagnostic Radiology

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124057047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 TYGERT LN",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601158258",
            "telephone_number": "815-758-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 BETHANY RD",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783116",
            "telephone_number": "815-748-3674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLOFSSON",
        "first_name": "DONALD",
        "middle_name": "ERICK",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "683",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "2OA 6786",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "02001516A",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "OS 9965",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn Mary O'Toole
• Oakheart, Center for Counseling, Mediation, and Consultation, LLC
• Vianca Alea Ocampo
• Catherine E Ofenlock, P.T.A.
• Julia A Ogg, PHD
• Stephanie Olson, MA, LCPC, NCC
• Opportunity House, Inc.
• Oral and Maxillo Facial Surgeons for Northern Illinois
• Orthodontic Experts
• Osf Multi-Specialty Group

• All providers in Sycamore, IL
• Diagnostic Radiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.