Provider Demographics
NPI:1851369912
Name:OLLAYOS, CLARE M (DC)
Entity type:Individual
Prefix:
First Name:CLARE
Middle Name:M
Last Name:OLLAYOS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 N AIRLITE ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60123-4967
Mailing Address - Country:US
Mailing Address - Phone:847-888-9988
Mailing Address - Fax:847-741-6743
Practice Address - Street 1:30 N AIRLITE ST
Practice Address - Street 2:SUITE C
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123-4967
Practice Address - Country:US
Practice Address - Phone:847-888-9988
Practice Address - Fax:847-741-6743
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-14
Last Update Date:2013-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-006137111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor