Active NPI
Olivia Price, PA-C
- Physician Assistant
- Chicago, IL
National Provider Identifier
1205283017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085.012364
- Practice address
- 516 S Loomis St
Chicago, IL 60607-2812 - Phone
- (872) 298-9199
- NPI assigned
- May 22, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085.012364 | IL | Primary |
Addresses
Primary practice location
516 S Loomis St
Chicago, IL 60607-2812
Mailing address
516 S Loomis St
Chicago, IL 60607-2812
Phone (872) 298-9199
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA2118 | KY | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1205283017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "516 S LOOMIS ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606072812",
"telephone_number": "872-298-9199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 S LOOMIS ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606072812",
"telephone_number": "872-298-9199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "OLIVIA",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-22",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085.012364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.