MEDICARE: OLESYA ALTMAN LDN

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	133V00000X	Registered Dietitian	164006744	IL

General Provider Information

NPI Number	:	1336593425
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLESYA ALTMAN LDN

Provider Business Mailing Address
First Line	:	1401 BURR OAK RD
Second Line	:	#317B
City	:	HINSDALE
State	:	IL
Zip	:	60521-2934
Country	:	US
Telephone Number	:	785-760-2255
Fax Number	:

Provider Business Practice Location Address
First Line	:	2250 E DEVON AVE
Second Line	:	SUITE 333
City	:	DES PLAINES
State	:	IL
Zip	:	60018-4511
Country	:	US
Telephone Number	:	224-803-2273
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2016
Last Update Date	:	04/15/2016

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Directions to “ OLESYA ALTMAN LDN” Practice Location

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