Individual provider Active NPI

Damian Olejarski, DO

  • Family Medicine Physician
  • Westchester, IL
National Provider Identifier
1679103972
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-166866 Issued in IL
Practice address
2434 Wolf Rd
Westchester, IL 60154-5634
Phone
(708) 562-5430
NPI assigned
Jan 25, 2020
Last updated
Jul 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036-166866 IL Primary

Addresses

Primary practice location

2434 Wolf Rd
Westchester, IL 60154-5634

Mailing address

2434 Wolf Rd
Westchester, IL 60154-5634
Phone (708) 562-5430

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
I20231213003368 IL Practitioner - Family Practice 9537561238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adventist Health Partners, Inc.Group PAC ID 0244135762, 253 clinicians

Practice addresses (Care Compare)

2434 Wolf Rd
Westchester, IL 60154-5634
Phone (708) 562-5430

396 Remington Blvd
Bolingbrook, IL 60440-4311

5101 Willow Springs Rd
La Grange, IL 60525-2600
Phone (708) 245-7044

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-166866ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Partners,Inc Family Medicine CurrentSince Nov 15, 2023 Accepting new patients
Adventist Health Partners, Inc. CurrentSince Nov 15, 2023 Accepting new patients
Adventist Health Partners, Inc. Current Accepting new patients
Adventist Health Partners,Inc Family Medicine Past Accepting new patients

Locations

396 Remington Blvd
Ste 231
Bolingbrook, IL 60440
Phone (630) 312-4301

2434 Wolf Rd
Westchester, IL 60154
Phone (630) 856-6800

Interoperability endpoints

  • Direct secure messaging: dolejarski1888432@adventhealth.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1579910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1679103972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2434 WOLF RD",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601545634",
            "telephone_number": "708-562-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2434 WOLF RD",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601545634",
            "telephone_number": "708-562-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLEJARSKI",
        "first_name": "DAMIAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-25",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-166866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westchester, IL

Sources for this page

Verify at the official NPI Registry.