Organization
OPTIONS MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW WALKER (MANAGER)
(312) 360-1604
Entity
Organization
Contact information
Practice address
1147 S WABASH AVE, SUITE 250, CHICAGO, IL 60605-2346
(312) 360-1604
Mailing address
1147 S WABASH AVE, SUITE 250, CHICAGO, IL 60605-2346
(312) 360-1604
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038012545
IL
208D00000X
General Practice Physician
Primary
036127953
IL
363L00000X
Nurse Practitioner
209011079
IL
Other
Enumeration date
06/19/2014
Last updated
09/15/2014
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