Healthcare Provider Details

I. General information

NPI: 1316886195
Provider Name (Legal Business Name): OLYMPIA FIELDS HOSPITAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20201 CRAWFORD AVE
OLYMPIA FIELDS IL
60461-1010
US

IV. Provider business mailing address

20201 CRAWFORD AVE
OLYMPIA FIELDS IL
60461-1010
US

V. Phone/Fax

Practice location:
  • Phone: 708-756-1000
  • Fax:
Mailing address:
  • Phone: 708-756-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER A DOAN
Title or Position: MANAGING ASSOCIATE COUNSEL
Credential:
Phone: 310-259-4706