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Organization
OPTIMA MEDICAL ASSOCIATES, LTD
Active
Organization
OPTIMA MEDICAL ASSOCIATES, LTD
Active
Other names
Southwest Center for Medical Excellence
Organization subpart
No
Provider details
NPI number
Authorized official
JANNA NEWTON (OFFICE ADMINSTRATOR)
(815) 729-0129
Entity
Organization
Contact information
Practice address
1050 ESSINGTON RD, JOLIET, IL 60435-8415
(815) 729-0129
(815) 729-1643
Mailing address
1050 ESSINGTON RD, JOLIET, IL 60435-8415
(815) 729-0129
(815) 729-1643
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
IL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
IL
207RP1001X
Pulmonary Disease Physician
—
IL
363LF0000X
Family Nurse Practitioner
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09919564
BCBS OF IL
IL
Enumeration date
06/23/2005
Last updated
09/11/2025
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