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OPTIMA ORAL SYSTEMIC SOLUTIONS LLC NPI 1770019010


NPI Information

NPI: 1770019010
Provider Name: OPTIMA ORAL SYSTEMIC SOLUTIONS LLC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Organization

Specialization: Adult Health

Address:
2460 S EOLA RD
SUITE J
AURORA, IL
ZIP 60503
Phone: (630) 585-5600
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OPTIMA ORAL SYSTEMIC SOLUTIONS LLC is an adult health nurse practitioner in Aurora, IL. OPTIMA ORAL SYSTEMIC SOLUTIONS LLC NPI is 1770019010. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2460 S EOLA RD
SUITE J
AURORA, IL
ZIP 60503-494
Phone: (630) 585-5600

The provider's authorized official is Catherine Gianan .
The authorized official title is Llc Member and has the following contact phone number (571) 331-4622.

The enumeration date for this NPI number is 5/5/2017 and was last updated on 5/5/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LA2200XNurse PractitionerAdult Health209004400ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1IL2556004MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.