DR. DONALD ERICK OLOFSSON D.O. NPI 1124057047

NPI Information

NPI: 1124057047
Provider Name: DR. DONALD ERICK OLOFSSON, D.O.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
2475 BETHANY RD
SYCAMORE, IL
ZIP 60178
Phone: (815) 748-3674
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DR. Donald Erick Olofsson, D.O. is a diagnostic radiology radiology in Sycamore, IL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Donald Erick Olofsson, D.O. NPI is 1124057047. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2475 BETHANY RD
SYCAMORE, IL
ZIP 60178-116
Phone: (815) 748-3674

The enumeration date for this NPI number is 7/2/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	683	SOUTH CAROLINA	No
2	2085R0202X	Radiology	Diagnostic Radiology	2OA 6786	CALIFORNIA	No
3	2085R0202X	Radiology	Diagnostic Radiology	02001516A	INDIANA	No
4	2085R0202X	Radiology	Diagnostic Radiology	OS 9965	FLORIDA	No
5	2085R0202X	Radiology	Diagnostic Radiology		ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	KO3267	MEDICARE UPIN	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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