Active NPI
Olson Pain & Stress Management Associates Inc.
- Specialist
- Lincolnshire, IL
National Provider Identifier
1629287834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 036069815
- Legal business name
- OLSON PAIN & STRESS MANAGEMENT ASSOCIATES INC.
- Practice address
- 100 Village Green Dr
#220
Lincolnshire, IL 60069-3095 - Phone
- (847) 793-8890
- Fax
- (847) 793-8842
- NPI assigned
- May 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Elaine E Olson, MD
- Title
- President
- Phone
- (847) 793-8890
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 036069815 | IL | Primary |
Addresses
Primary practice location
100 Village Green Dr
#220
Lincolnshire, IL 60069-3095
Mailing address
PO Box 1226
Park Ridge, IL 60068-7226
Phone (847) 793-8890
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036069815 | Medicaid | IL | |
| L62349 | Other | IL | MC PIN# |
| 21621708 | Other | IL | BLUE CROSS BLUESHIELD |
National Provider Directory
National Provider DirectoryLocations
1020 Milwaukee Ave
Ste 360
Deerfield, IL 60015
Phone (224) 764-2240
100 Village Grn
Ste 220
Lincolnshire, IL 60069
Phone (847) 415-5077
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Deerfield, IL
- NPI 1245348952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1227052800000",
"number": "1629287834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1226",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600687226",
"telephone_number": "847-793-8890",
"fax_number": "847-793-8892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 VILLAGE GREEN DR",
"address_2": "#220",
"city": "LINCOLNSHIRE",
"state": "IL",
"postal_code": "600693095",
"telephone_number": "847-793-8890",
"fax_number": "847-793-8842"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OLSON PAIN & STRESS MANAGEMENT ASSOCIATES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-22",
"last_updated": "2008-11-19",
"status": "A",
"authorized_official_last_name": "OLSON",
"authorized_official_first_name": "ELAINE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-793-8890",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "IL",
"license": "036069815",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036069815",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MC PIN#",
"identifier": "L62349",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUESHIELD",
"identifier": "21621708",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lincolnshire, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.