Desiree F Oliveros, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036.112400 Issued in IL

Practice address

1975 Lin Lor Lane
Suite 295
Elgin, IL 60123-0000

Phone

(847) 622-2086

Fax

(847) 608-5281

NPI assigned

Aug 9, 2006

Last updated

Mar 1, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• C. Desiree F Oliveros Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298937600000",
    "number": "1205846128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 REMINGTON BLVD",
            "address_2": "SUITE 100 - (ATTN: MELVONNE JONES)",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604405114",
            "telephone_number": "630-914-2417",
            "fax_number": "630-914-2469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 LIN LOR LANE",
            "address_2": "SUITE 295",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601230000",
            "telephone_number": "847-622-2086",
            "fax_number": "847-608-5281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVEROS",
        "first_name": "DESIREE",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2011-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-112400",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.112400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "C. DESIREE",
            "last_name": "OLIVEROS",
            "middle_name": "F",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Ohlinger
• Keri Oke, AU.D.
• Ashley L. Okigawa, PHYSICIAN ASSISTANT
• Adeola A Oladipo, APRN, FNP-BC
• Michael Allan Oleksiak, M.D.
• Clare M Ollayos, D.C.
• Jamie Olson
• Jessica Lynn Olson, LCSW
• Pamela A Olson, D.C.
• Kathryn Omalley, DO

• Internal Medicine Physician in Elgin, IL
• Providers in Elgin, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; 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.