Elis Yngve Olson, M.D., P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ELIS YNGVE OLSON, M.D., P.C.

Practice address

1713 W. Diversey Pkwy
Suite G
Chicago, IL 60614

Phone

(331) 472-7443

NPI assigned

Jan 31, 2023

Organization subpart

No

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

Authorized official

Name

Karil Ann Walther

Title

Vice President Practice Operations

Phone

(608) 235-7970

Specialties & licenses 4

Addresses

Other names 1

• KeyCare Medical Group Doing business as

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675123200000",
    "number": "1952007114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 W TAYLOR ST # 227",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074623",
            "telephone_number": "331-472-7443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 W. DIVERSEY PKWY",
            "address_2": "SUITE G",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60614",
            "telephone_number": "331-472-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIS YNGVE OLSON, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-12",
        "status": "A",
        "authorized_official_last_name": "WALTHER",
        "authorized_official_first_name": "KARIL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "VICE PRESIDENT PRACTICE OPERATIONS",
        "authorized_official_telephone_number": "608-235-7970"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KeyCare Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shohreh Eliaszadeh, M.D.
• Michelle Elijah, LCSW
• Joy M Elion
• Megan Christine Elios, M.D.
• James G Elipas, D.P.M.
• Elisa Ochoa DDS LTD
• Elisabeth I. Wallner, M.D., S.C.
• Elise E. Rehn, MD, LLC
• Elite Anesthesia Group Inc.
• Elite City Transit, Inc.

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.