Healthcare Provider Details

I. General information

NPI: 1275992323
Provider Name (Legal Business Name): ARTHUR PILAPIL OLIVEROS FNP-BC (DNP)
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/17/2016
Last Update Date: 02/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19990 GOVERNORS HWY
OLYMPIA FIELDS IL
60461-1021
US

IV. Provider business mailing address

898 BROMPTON CIR
BOLINGBROOK IL
60440-1485
US

V. Phone/Fax

Practice location:
  • Phone: 708-747-7100
  • Fax:
Mailing address:
  • Phone: 847-420-9664
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209013841
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: