Organization
OPTIMUM CHIROPRACTIC CENTER, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OKI KIM VILLARREAL DC, BSEE (PRESIDENT)
(312) 218-0087
Entity
Organization
Contact information
Practice address
1013 AUDUBON LN, AURORA, IL 60506-8853
(815) 230-0847
Mailing address
1013 AUDUBON LN, AURORA, IL 60506-8853
(815) 230-0847
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
0380112233
IL
Other
Enumeration date
08/27/2008
Last updated
11/18/2008
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