Organization
OPTIONS FUNTIONAL HEALTH SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAQUELYN BITLER (PRESIDENT)
(614) 395-9132
Entity
Organization
Contact information
Practice address
1147 S WABASH AVE, SUITE 250A, CHICAGO, IL 60605-2346
(312) 477-3985
Mailing address
1147 S WABASH AVE, SUITE 250A, CHICAGO, IL 60605-2346
(312) 477-3985
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
AU3890402
IL
Other
Enumeration date
03/23/2015
Last updated
03/23/2015
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