# OPTIMAL LIFE HEALTHCARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568276962
- **Authorized official:** MARIE FUANYA RN (REGISTERED NURSE)
- **Authorized official phone:** (773) 957-6577

## Contact information

- **Practice address:** 9053 EWING AVE, EVANSTON, IL 60203-1908
- **Practice address phone:** (773) 957-6577
- **Mailing address:** 9053 EWING AVE, EVANSTON, IL 60203-1908

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/05/2025
- **Last updated:** 02/05/2025