Organization
OPTIMAL LIFE HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE FUANYA RN (REGISTERED NURSE)
(773) 957-6577
Entity
Organization
Contact information
Practice address
9053 EWING AVE, EVANSTON, IL 60203-1908
(773) 957-6577
Mailing address
9053 EWING AVE, EVANSTON, IL 60203-1908
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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