Most Relevant Information
Provider Data
| NPI Number: | 1003497116 |
| Provider Name: | DEREK S OLSON DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/20/2021 |
| Last Updated: | 05/08/2024 |
Provider Practice Location
1340 E 47TH ST
CHICAGO
IL
606534508
Practice Location Phone/Fax
| Phone: | 7734965147 |
| Fax: | 8722159417 |
Provider Mailing Location
790 REMINGTON BLVD
BOLINGBROOK
IL
604404909
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |