Active NPI
Joshua Ollswang
- Social Worker
- Oak Park, IL
National Provider Identifier
1700558129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150.105218
- Practice address
- 1010 Lake St
Oak Park, IL 60301-1147 - Phone
- (773) 665-8052
- NPI assigned
- Oct 4, 2021
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.105218 | IL | Primary |
Addresses
Primary practice location
1010 Lake St
Oak Park, IL 60301-1147
Mailing address
29599 N Midlothian Rd
Mundelein, IL 60060-1014
Phone (917) 995-1008
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 |
|---|---|---|---|
| 150.105218 | IL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633305600000",
"number": "1700558129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29599 N MIDLOTHIAN RD",
"city": "MUNDELEIN",
"state": "IL",
"postal_code": "600601014",
"telephone_number": "917-995-1008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 LAKE ST",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603011147",
"telephone_number": "773-665-8052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLLSWANG",
"first_name": "JOSHUA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-04",
"last_updated": "2021-10-04",
"certification_date": "2021-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.105218",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.