Active NPI
James Joseph Olson, MD
- Pediatrics Physician
- Skokie, IL
National Provider Identifier
1225071244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036080165
- Practice address
- 9631 Gross Point Rd
Suite 2
Skokie, IL 60076-1264 - Phone
- (847) 677-7250
- Fax
- (847) 677-7251
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036080165 | IL | Primary |
Addresses
Primary practice location
9631 Gross Point Rd
Suite 2
Skokie, IL 60076-1264
Mailing address
2203 Payne St
Evanston, IL 60201-2509
Phone (847) 677-7250
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036080165 | IL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids' Health Partners, LLC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404345600000",
"number": "1225071244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2203 PAYNE ST",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602012509",
"telephone_number": "847-677-7250",
"fax_number": "847-677-7251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9631 GROSS POINT RD",
"address_2": "SUITE 2",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600761264",
"telephone_number": "847-677-7250",
"fax_number": "847-677-7251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "JAMES",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2014-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036080165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.