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

Haley Olsen

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1861180382

Haley Olsen is a Family Practice in Peoria, Illinois. Qualified in 2023, 3 years ago. Works from 2 locations. Licensed in Illinois.

Years since qualifying
3
Licensed in
IL
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

815 Main St Ste A
Peoria, IL 61602-1080
Phone: (309) 672-4977
Fax: (309) 671-2580
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3800 S National Ave Ste 700, Springfield, MO 65807-5279 — (417) 269-8817

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036179036 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1861180382
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 25, 2023
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026
Mailing address815 Main St Ste A, Peoria, IL 61602-1080

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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