MEDICARE: IMMEDIATE HEALTHCARE, LTD.

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	111NX0800X	Orthopedic Chiropractor		IL

General Provider Information

NPI Number	:	1295804730
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IMMEDIATE HEALTHCARE, LTD.

Provider Business Mailing Address
First Line	:	7107 W BELMONT AVE
Second Line	:	SUITE 8
City	:	CHICAGO
State	:	IL
Zip	:	60634-4688
Country	:	US
Telephone Number	:	773-237-4545
Fax Number	:	773-237-9720

Provider Business Practice Location Address
First Line	:	7107 W BELMONT AVE
Second Line	:	SUITE 8
City	:	CHICAGO
State	:	IL
Zip	:	60634-4688
Country	:	US
Telephone Number	:	773-237-4545
Fax Number	:	773-237-9720

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ROBERT V. OLSE
Credential	:	D.C
Telephone Number	:	773-237-4545

Provider Enumeration Date	:	11/07/2006
Last Update Date	:	08/22/2020

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