Optimum Health And Nutrition, Inc

LBN: Optimum Health And Nutrition, Inc
Optimum Health And Nutrition, Inc is an health care organization with primary practice located at 8805 S 82Nd Ave , Hickory Hills IL 60457-1444. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Optimum Health And Nutrition, Inc can be contacted via phone (708) 527-0772, or through Lopez, Raquel via phone (708) 527-0772.

Contact Information

Primary practice address
8805 S 82Nd Ave Hickory Hills IL 60457-1444
Phone: (708) 527-0772
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lopez, Raquel RDN, LDN
Phone: (708) 527-0772

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X 164.005838 Illinois

Profile Details

NPI number 1619390671
LBN Legal business name Optimum Health And Nutrition, Inc
DBA Doing business as
Authorized official Lopez, Raquel RDN, LDN
Entity Organization
Organization subpart 1 No
Enumeration date Jan 28th, 2014
Last updated Jan 28th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619390671 NPPES
Illinois Other 1619308608 MEDICARE NPI TYPE I LISTED BELOW
Illinois Other 0670 MEDICARE NPI TYPE I LISTED BELOW
Illinois Other 164.005838 MEDICARE NPI TYPE I LISTED BELOW

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