Allan J Olthoff Do Sc

NPI 1003959933 - Clinic/Center - 261QH0100X

NPI Details
NPI 1003959933
Enumeration Date 02/14/2007
Last Updated 07/31/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ALLAN J ALLAN
Position PRESIDENT
Phone (847) 267-0260
Fax (847) 282-3862
Practice Location
400 LAKE COOK RD
200C
DEERFIELD IL, 60015-5607, US
Phone (847) 267-0260
Fax (847) 282-3862
Business Location
4524 S OAKENWALD AVE
CHICAGO IL, 60653-4514, US
Phone (312) 623-3007
Fax (847) 282-3862
Toxanomy
Taxonomy Code 261QH0100X
License State Illinois
License Number 036064582
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According to our database, Allan J Olthoff Do Sc NPI is 1003959933, taxonomy code is 261QH0100X and license number is 036064582, license state is located at Illinois. Allan J Olthoff Do Sc physically located at 400 Lake Cook Rd, Deerfield IL, 60015-5607. NPI Number 1033115704 has the healthcare provider type.

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1003959933 NPI number is provided on an as is basis without warranty of any kind. 1003959933 is maintained by the National Plan & Provider Enumeration System. The contents of Allan J Olthoff Do Sc are for informational purposes only.