MEDICARE: DANIEL OLLER, DC, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1083500995
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DANIEL OLLER, DC, LLC

Provider Business Mailing Address
First Line	:	2829 W. CERMAK ROAD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60623
Country	:	US
Telephone Number	:	217-671-1285
Fax Number	:

Provider Business Practice Location Address
First Line	:	2829 W. CERMAK ROAD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60623
Country	:	US
Telephone Number	:	773-940-1594
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. DANIEL OLLER
Credential	:	DC
Telephone Number	:	217-671-1285

Provider Enumeration Date	:	06/16/2025
Last Update Date	:	06/16/2025

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