Provider Demographics
NPI:1033644992
Name:OLSHANSKY, CARYN RACHEL (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:CARYN
Middle Name:RACHEL
Last Name:OLSHANSKY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
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Mailing Address - Street 1:7411 N MILWAUKEE AVE
Mailing Address - Street 2:
Mailing Address - City:NILES
Mailing Address - State:IL
Mailing Address - Zip Code:60714-3707
Mailing Address - Country:US
Mailing Address - Phone:773-763-6000
Mailing Address - Fax:773-763-6006
Practice Address - Street 1:7411 N MILWAUKEE AVE
Practice Address - Street 2:
Practice Address - City:NILES
Practice Address - State:IL
Practice Address - Zip Code:60714-3707
Practice Address - Country:US
Practice Address - Phone:773-763-6000
Practice Address - Fax:773-763-6006
Is Sole Proprietor?:No
Enumeration Date:2017-04-27
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL085.006154363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant