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Organization
OPTIMUM HEALTH CHIROPRACTIC & WELLNESS CENTER, INC.
Active
Organization
OPTIMUM HEALTH CHIROPRACTIC & WELLNESS CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSEMARY CHAVIS D.C. (CHIROPRACTOR OWNER)
(708) 331-9881
Entity
Organization
Contact information
Practice address
841 E 162ND ST, SOUTH HOLLAND, IL 60473-2465
(708) 331-9881
(708) 331-9876
Mailing address
PO BOX 1665, CALUMET CITY, IL 60409-7665
(708) 331-9881
(708) 331-9876
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-009778
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01633148
BCBSIL
IL
05
—
038009778
—
IL
01
—
205967
MEDICARE PROVIDER #
—
01
—
P00091070
RR MEDICARE
IL
Enumeration date
03/17/2006
Last updated
01/13/2010
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