Optimal Life Healthcare | |
9053 Ewing Ave Evanston IL 60203-1908 | |
(773) 957-6577 | |
Not Available |
Full Name | Optimal Life Healthcare |
---|---|
Speciality | Clinic/center |
Location | 9053 Ewing Ave, Evanston, Illinois |
Authorized Official Name and Position | Marie Fuanya (REGISTERED NURSE) |
Authorized Official Contact | 7739576577 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Optimal Life Healthcare 9053 Ewing Ave Evanston IL 60203-1908 Ph: () - | Optimal Life Healthcare 9053 Ewing Ave Evanston IL 60203-1908 Ph: (773) 957-6577 |
NPI Number | 1568276962 |
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Provider Enumeration Date | 02/05/2025 |
Last Update Date | 02/05/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568276962 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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