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Organization
OPTIMUM QUALITY BEHAVIORAL HEALTH PLLC
Active
Organization
OPTIMUM QUALITY BEHAVIORAL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOMILOLA ADEWOLU (ADMINISTRATOR)
(773) 461-0977
Entity
Organization
Contact information
Practice address
1603 ORRINGTON AVE STE 600, EVANSTON, IL 60201-3860
(813) 997-2099
Mailing address
1603 ORRINGTON AVE, EVANSTON, IL 60201-3841
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/07/2023
Last updated
06/10/2026
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