Provider Demographics
NPI:1982953683
Name:OLOFFSSON, SHEILA M (MS, CCC-A)
Entity Type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:M
Last Name:OLOFFSSON
Suffix:
Gender:F
Credentials:MS, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1928 W 102 ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60643-2025
Mailing Address - Country:US
Mailing Address - Phone:773-779-8442
Mailing Address - Fax:773-779-7298
Practice Address - Street 1:1928 W 102 ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60643-2025
Practice Address - Country:US
Practice Address - Phone:773-779-8442
Practice Address - Fax:773-779-7298
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-10
Last Update Date:2012-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL147000303231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist