| Optimal Center For Behavioral And Aesthetic Medicine | |
|
15010 S Ravinia Ave Suite 15 Orland Park IL 60462-3162 | |
| (708) 364-0580 | |
| (708) 364-0480 |
| Full Name | Optimal Center For Behavioral And Aesthetic Medicine |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 15010 S Ravinia Ave, Orland Park, Illinois |
| Authorized Official Name and Position | Martins A Adeoye (MANAGER / CEO) |
| Authorized Official Contact | 7083640580 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimal Center For Behavioral And Aesthetic Medicine 15010 S Ravinia Ave Suite 15 Orland Park IL 60462-3162 Ph: (708) 364-0580 | Optimal Center For Behavioral And Aesthetic Medicine 15010 S Ravinia Ave Suite 15 Orland Park IL 60462-3162 Ph: (708) 364-0580 |
| NPI Number | 1154650042 |
|---|---|
| Provider Enumeration Date | 12/23/2009 |
| Last Update Date | 12/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154650042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 036103889 (Illinois) | Primary |
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