Premier Optimal Health Llc

NPI 1245645928 - Family Medicine - 207Q00000X

NPI Details
NPI 1245645928
Enumeration Date 06/21/2014
Last Updated 06/21/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name DORIA LAW DORIA
Position CEO
Phone (847) 420-8345
Fax
Practice Location
150 N RIVER RD STE 230
DES PLAINES IL, 60016-1299, US
Phone (847) 420-8345
Fax
Business Location
2492 FARNSWORTH LN
NORTHBROOK IL, 60062-5945, US
Phone (847) 291-9108
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Illinois
License Number 036076122
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According to our database, Premier Optimal Health Llc NPI is 1245645928, taxonomy code is 207Q00000X and license number is 036076122, license state is located at Illinois. Premier Optimal Health Llc physically located at 150 N River Rd Ste 230, Des Plaines IL, 60016-1299. NPI Number 1033115704 has the healthcare provider type.

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1245645928 NPI number is provided on an as is basis without warranty of any kind. 1245645928 is maintained by the National Plan & Provider Enumeration System. The contents of Premier Optimal Health Llc are for informational purposes only.