MEDICARE: OLIVIA PRITCHARD

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1821940693
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLIVIA PRITCHARD

Provider Business Mailing Address
First Line	:	5311 LEE AVE
Second Line	:
City	:	DOWNERS GROVE
State	:	IL
Zip	:	60515-4417
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1740 W TAYLOR ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60612-7232
Country	:	US
Telephone Number	:	866-600-2273
Fax Number	:

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

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	02/12/2026

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Directions to “ OLIVIA PRITCHARD ” Practice Location

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