Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MA Olivia R. San Diego, MD, SC

Organization Pediatrics Physician · NPI 1245580653

MA Olivia R. San Diego, MD, SC is a Pediatrics Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012

Practice location Address checks out

1044 N Mozart St Ste 205
Chicago, IL 60622-2789
Phone: (773) 489-2913
Fax: (773) 489-7330
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 036-130487 (IL)

Record details

NPI number1245580653
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ma. Olivia San Diego — Director · (973) 653-6119
NPI enumeratedSeptember 12, 2012
Last updated in NPPESSeptember 12, 2012
Mailing address1044 N Mozart St, Suite 205, Chicago, IL 60622-2789

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