Organization
OPTIMAL NEUROSCIENCE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA NELSON (CEO)
(708) 369-8022
Entity
Organization
Contact information
Practice address
2775 VILLAGE PT, CHESTERTON, IN 46304-0099
(219) 304-6700
Mailing address
3147 W 65TH AVE, MERRILLVILLE, IN 46410-2978
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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