Provider Demographics
NPI:1013243765
Name:OLPINSKI, MARIAN IGNACY (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:MARIAN
Middle Name:IGNACY
Last Name:OLPINSKI
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 W BIESTERFIELD RD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:ELK GROVE VILLAGE
Mailing Address - State:IL
Mailing Address - Zip Code:60007
Mailing Address - Country:US
Mailing Address - Phone:847-593-9182
Mailing Address - Fax:847-593-3644
Practice Address - Street 1:800 BIESTERFIELD RD STE 107
Practice Address - Street 2:
Practice Address - City:ELK GROVE VILLAGE
Practice Address - State:IL
Practice Address - Zip Code:60007-3372
Practice Address - Country:US
Practice Address - Phone:847-593-9182
Practice Address - Fax:847-593-3644
Is Sole Proprietor?:No
Enumeration Date:2009-10-29
Last Update Date:2017-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036129163208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics