OPTIMUM HEALTH CHIROPRACTIC & WELLNESS CENTER INC. NPI 1942269139

NPI Information

NPI: 1942269139
Provider Name: OPTIMUM HEALTH CHIROPRACTIC & WELLNESS CENTER, INC.
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
841 E 162ND ST
SOUTH HOLLAND, IL
ZIP 60473
Phone: (708) 331-9881
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OPTIMUM HEALTH CHIROPRACTIC & WELLNESS CENTER, INC. is a chiropractor in South Holland, IL. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. OPTIMUM HEALTH CHIROPRACTIC & WELLNESS CENTER, INC. NPI is 1942269139. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

841 E 162ND ST
SOUTH HOLLAND, IL
ZIP 60473-465
Phone: (708) 331-9881
Fax: (708) 331-9876

The provider's authorized official is Rosemary Chavis .
The authorized official title is Chiropractor Owner and has the following contact phone number (708) 331-9881.

The enumeration date for this NPI number is 3/17/2006 and was last updated on 1/13/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		038-009778	ILLINOIS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	205967	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS
2	U95435	MEDICARE UPIN
3	01633148	OTHER	ILLINOIS	BCBSIL
4	P00091070	OTHER	ILLINOIS	RR MEDICARE
5	P00091070	MEDICARE PIN	ILLINOIS
6	205967	OTHER		MEDICARE PROVIDER #
7	038009778	MEDICAID	ILLINOIS

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: 5/5/2024

NPI Synchronization or Removal

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