Organization · Type 2 NPI
Frontier Healthcare Systems of Illinois LLC
Family Nurse Practitioner · Olympia Fields, IL
NPI number
1053772020
Active
Practice location
20280 Governors Hwy Ste 102
Olympia Fields, IL 60461-1068
Fax (708) 234-0394
Mailing address
900 Ogden Ave # 335
Downers Grove, IL 60515-2829
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
| Pain Clinic/Center | 261QP3300X | None listed |
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
Another provider at this address
Other family nurse practitioner providers in Olympia Fields
About NPI 1053772020
Frontier Healthcare Systems of Illinois LLC's National Provider Identifier is 1053772020, issued on Mar 17, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Olympia Fields, IL. The record was last updated on Apr 21, 2026.