Individual provider Active NPI

Allan J Olthoff, D.O.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Chicago, IL
National Provider Identifier
1780731067
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
036064582 Issued in IL
Practice address
2600 S Michigan Ave Ste 210
Chicago, IL 60616-2859
Phone
(312) 623-3007
Fax
(312) 877-5643
NPI assigned
Jan 5, 2007
Last updated
Jul 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 036064582 IL Primary
Family Medicine Physician 207Q00000X 036064582 IL

Addresses

Primary practice location

2600 S Michigan Ave Ste 210
Chicago, IL 60616-2859

Mailing address

4524 S Oakenwald Ave
Chicago, IL 60653-4514
Phone (312) 623-3007

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
I20080925000647 IL Practitioner - Family PracticePractitioner - Other (Physician) 7315014735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2600 S Michigan Ave
Suite 210
Chicago, IL 60616-2859
Phone (312) 623-3007

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allan J Olthoff DO SC CurrentSince Sep 23, 2004 Accepting new patients
The Board of Trustees of the University of Illinois Past Accepting new patients

Locations

2600 S Michigan Ave
Ste 210
Chicago, IL 60616
Phone (312) 623-3007

400 Lake Cook Rd
Ste 200C
Deerfield, IL 60015
Phone (708) 352-2392

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1780731067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4524 S OAKENWALD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606534514",
            "telephone_number": "312-623-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 S MICHIGAN AVE STE 210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162859",
            "telephone_number": "312-623-3007",
            "fax_number": "312-877-5643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLTHOFF",
        "first_name": "ALLAN",
        "middle_name": "J",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "IL",
            "license": "036064582",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036064582",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.