Healthcare Provider Details

I. General information

NPI: 1922533397
Provider Name (Legal Business Name): KRISTEN JOANNE OLSZEWSKI APN-CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2017
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4789 ROUTE 71
OSWEGO IL
60543-7415
US

IV. Provider business mailing address

4789 ROUTE 71
OSWEGO IL
60543-7415
US

V. Phone/Fax

Practice location:
  • Phone: 630-692-5730
  • Fax: 630-692-5731
Mailing address:
  • Phone: 630-692-5730
  • Fax: 630-692-5731

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number277001562
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number277001562
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: