Active NPI
Brian Olsberg
- Specialist
- Hampshire, IL
National Provider Identifier
1588080071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 056-001744
- Practice address
- 378 Hillcrest Ave
Hampshire, IL 60140-9453 - Phone
- (847) 770-2645
- NPI assigned
- Mar 9, 2014
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 056-001744 | IL | Primary |
Addresses
Primary practice location
378 Hillcrest Ave
Hampshire, IL 60140-9453
Mailing address
378 Hillcrest Ave
Hampshire, IL 60140-9453
Phone (847) 770-2645
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056-001744 | IL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394323200000",
"number": "1588080071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "378 HILLCREST AVE",
"city": "HAMPSHIRE",
"state": "IL",
"postal_code": "601409453",
"telephone_number": "847-770-2645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "378 HILLCREST AVE",
"city": "HAMPSHIRE",
"state": "IL",
"postal_code": "601409453",
"telephone_number": "847-770-2645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSBERG",
"first_name": "BRIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-09",
"last_updated": "2014-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IL",
"license": "056-001744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hampshire, IL
- Michael a. Cooper D.D.S., P.C.
- Brittney Mitsuka-Woodruff, MS, CCLS, DT, CIMI
- Moffett Physical Therapy, Inc.
- Myoflow Physical Therapy & Wellness Inc
- O'Reilly Family Dental
- Maria Cristina David Pasion, PT
- Sagar Natubhai Patel, APRN
- Dominic Joseph Ranallo, D.C.
- Reverie Therapy Group PLLC
- Catherine Rodeback, L. AC.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.