Individual provider · Type 1 NPI

Beverly Jan Olivares

Family Nurse Practitioner · Park Ridge, IL

NPI number 1174447098 Active

Practice location

1775 Dempster St
Park Ridge, IL 60068-1143

Call (847) 723-2210 Map

Mailing address

191 Westmere Rd
Des Plaines, IL 60016-2761

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	209034999 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1174447098

Beverly Jan Olivares's National Provider Identifier is 1174447098, issued on Aug 5, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Park Ridge, IL. The record was last updated on Aug 5, 2026.