MEDICARE: SHELBY OLITA

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	1041C0700X	Clinical Social Worker	149027175	IL
2	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1952861023
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHELBY OLITA

Provider Business Mailing Address
First Line	:	5 REVERE DR STE 120
Second Line	:
City	:	NORTHBROOK
State	:	IL
Zip	:	60062-8005
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1371 ABBOTT CT STE A
Second Line	:
City	:	BUFFALO GROVE
State	:	IL
Zip	:	60089-2367
Country	:	US
Telephone Number	:	847-777-8995
Fax Number	:

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

Provider Enumeration Date	:	03/23/2019
Last Update Date	:	02/20/2026

Similar Medicare Providers

1144168964 — LINDSEY LEHRFELD OTR/L
Practice Location Address:

1371 ABBOTT CT STE A
BUFFALO GROVE, IL
60089-2367

Practice Phone: 847-848-1551
Practice Fax:

1629329172 — IN2GREAT
Practice Location Address:

1371 ABBOTT CT
BUFFALO GROVE, IL
60089-2367

Practice Phone: 847-777-8995
Practice Fax: 847-947-2890

1265917181 — MELISSA VAUGHAN PODRAZIK OTR/L
Practice Location Address:

1371 ABBOTT CT STE A
BUFFALO GROVE, IL
60089-2367

Practice Phone: 847-777-8995
Practice Fax:

1982173928 — MADELINE MAZE
Practice Location Address:

1371 ABBOTT CT
BUFFALO GROVE, IL
60089-2367

Practice Phone: 844-247-7222
Practice Fax: 215-489-8766

1366073215 — NIMRA BURNEY
Practice Location Address:

1371 ABBOTT CT
BUFFALO GROVE, IL
60089-2367

Practice Phone: 847-777-8995
Practice Fax:

1548038839 — ELENA PRESTA OTR/L
Practice Location Address:

1371 ABBOTT CT
BUFFALO GROVE, IL
60089-2367

Practice Phone: 847-777-8995
Practice Fax:

Directions to “ SHELBY OLITA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.