Healthcare Provider Details

I. General information

NPI: 1487597266
Provider Name (Legal Business Name): BEATRIZ OLOARTE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14315 108TH AVE
ORLAND PARK IL
60467-5700
US

IV. Provider business mailing address

520 N HICKORY ST
JOLIET IL
60435-6321
US

V. Phone/Fax

Practice location:
  • Phone: 708-675-2100
  • Fax:
Mailing address:
  • Phone: 815-710-0823
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-24-351214
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: