BRIAN OLOFSSON MD, LLC
NPI 1871067496
Family Medicine in Kankakee, IL

Active since January 16, 2019
400 N WALL ST STE 510, KANKAKEE, IL 60901(815) 932-5725(815) 932-5872 Get Directions Write a Review

NPPES record last updated: January 16, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brian Olofsson Md, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIAN OLOFSSON MD, LLC (NPI 1871067496) is a healthcare organization registered as a family medicine in Kankakee, Illinois and active in the NPI registry since January 2019. The organization lists Brian Olofsson, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1871067496
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBRIAN OLOFSSON MD, LLC
Location Address400 N WALL ST STE 510Kankakee, IL 60901-2965
Mailing Address400 N Wall St Ste 510Kankakee, IL 60901-2965 · (815) 932-5725 · Fax (815) 932-5872
Fax(815) 932-5872
Organization SubpartNo
Authorized OfficialBrian OlofssonPhysician/owner · (815) 932-5725
Enumeration DateJanuary 16, 2019
NPI 1871067496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
400 N WALL ST STE 510, Kankakee, IL 60901

Other Identifiers 1

Medicaid036067325IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Olofsson MD, LLC's NPI number?

The NPI number for Brian Olofsson MD, LLC is 1871067496. It was assigned to this organization in the NPPES registry on January 16, 2019.

Where is Brian Olofsson MD, LLC located?

Brian Olofsson MD, LLC is located at 400 N Wall St Ste 510, Kankakee, IL 60901. The listed phone number is (815) 932-5725.

What is Brian Olofsson MD, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Brian Olofsson MD, LLC was last updated on January 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.