Optimum Health and Nutrition, INC
NPI #1619390671 in Hickory Hills, Illinois
Provider Information
- NPI Number
- 1619390671
- Entity Type
- Organization
- Organization Name
- Optimum Health and Nutrition, INC
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Jan 28, 2014
- Last Updated
- Jan 28, 2014
Practice Location
- Address
- 8805 S 82ND AVE
- City
- Hickory Hills
- State
- Illinois
- ZIP Code
- 60457-1444
- Phone
- (708) 527-0772
Authorized Official
- Name
- RAQUEL LOPEZ, RDN, LDN
- Title
- PRESIDENT/ REGISTERED DIETITIAN
- Phone
- (708) 527-0772
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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