| Optimum Quality Behavioral Health Pllc | |
|
1603 Orrington Ave Ste 600 Evanston IL 60201-3860 | |
| (813) 997-2099 | |
| Not Available |
| Full Name | Optimum Quality Behavioral Health Pllc |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 1603 Orrington Ave Ste 600, Evanston, Illinois |
| Authorized Official Name and Position | Brian Clukie (ADMINISTRATOR) |
| Authorized Official Contact | 8139972099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimum Quality Behavioral Health Pllc 200 Dundee Ave East Dundee IL 60118-1627 Ph: () - | Optimum Quality Behavioral Health Pllc 1603 Orrington Ave Ste 600 Evanston IL 60201-3860 Ph: (813) 997-2099 |
| NPI Number | 1811761240 |
|---|---|
| Provider Enumeration Date | 11/07/2023 |
| Last Update Date | 08/20/2024 |
| Certification Date | 08/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811761240 | NPI | - | NPPES |
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