Individual provider Active NPI

Christine Ann Olson, MD

  • Psychiatry Physician
  • Deerfield, IL
National Provider Identifier
1245348952
Registry record updated Nov 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
336045881 Issued in IL
Practice address
1020 Milwaukee Ave Ste 208
Deerfield, IL 60015-3587
Phone
(847) 379-1415
Fax
(847) 739-7077
NPI assigned
Aug 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 336045881 IL Primary

Addresses

Primary practice location

1020 Milwaukee Ave Ste 208
Deerfield, IL 60015-3587

Mailing address

1020 Milwaukee Ave Ste 208
Deerfield, IL 60015-3587
Phone (847) 379-1415

Other practice location 1

100 Village Grn
Ste 220
Lincolnshire, IL 60069-3094
Phone (847) 415-5077 ext. 102

Other identifiers 2

IdentifierTypeStateIssuer
03619325MedicaidIL
01619325OtherBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101112001141 IL Practitioner - Psychiatry 7012086341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1020 Milwaukee Ave
Suite 208
Deerfield, IL 60015-3587
Phone (847) 379-1415

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
336045881ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Olson Psycare PC Psychiatry CurrentSince Sep 24, 1993 Accepting new patients
Olson Pain & Stress Management Associates Inc. Past Accepting new patients

Locations

1020 Milwaukee Ave
Ste 208
Deerfield, IL 60015
Phone (847) 379-1415

100 Village Grn
Lincolnshire, IL 60069
Phone (847) 634-2317

100 Village Grn
Ste 220
Lincolnshire, IL 60069
Phone (847) 415-5077

Organizations & group practices 2

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509926400000",
    "number": "1245348952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 MILWAUKEE AVE STE 208",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600153587",
            "telephone_number": "847-379-1415",
            "fax_number": "847-339-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 MILWAUKEE AVE STE 208",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600153587",
            "telephone_number": "847-379-1415",
            "fax_number": "847-739-7077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Village Grn",
            "address_2": "Ste 220",
            "address_purpose": "LOCATION",
            "city": "Lincolnshire",
            "state": "IL",
            "postal_code": "600693094",
            "country_code": "US",
            "telephone_number": "847-415-5077 x102",
            "fax_number": "847-793-8892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLSON",
        "first_name": "CHRISTINE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2017-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "336045881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03619325",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "01619325",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield, IL

Sources for this page

Verify at the official NPI Registry.