Healthcare Provider Details

I. General information

NPI: 1346635331
Provider Name (Legal Business Name): OLGA GERMAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2015
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 RANDALL RD
GENEVA IL
60134-2590
US

IV. Provider business mailing address

1000 RANDALL RD STE 100
GENEVA IL
60134-2591
US

V. Phone/Fax

Practice location:
  • Phone: 630-232-1282
  • Fax:
Mailing address:
  • Phone: 312-695-8150
  • Fax: 312-695-3652

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License Number036146763
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number036146763
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: