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General NPI Number Information
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NPI Number | 1477574374
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Entity Type | Individual
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Provider Name | OLEH PALY M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/23/2006
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Last Update Date | 08/26/2009
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Provider Practice Location Address
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Address Line | 34905 N LAKE MATTHEWS TRL
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City | INGLESIDE
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State | IL
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Zip | 60041-9480
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Country | US
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Telephone | 773-767-8283
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 388320
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City | CHICAGO
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State | IL
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Zip | 60638-8320
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Country | US
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Telephone | 773-767-4600
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Fax | 773-767-8320
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 036072020
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License Number State | IL
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