Organization
OPTIMA ORAL SYSTEMIC SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE GIANAN NP (LLC MEMBER)
(571) 331-4622
Entity
Organization
Contact information
Practice address
2460 S EOLA RD, SUITE J, AURORA, IL 60503-6494
(630) 585-5600
Mailing address
1312 ADA LN, NAPERVILLE, IL 60540-0354
(571) 331-4622
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209004400
IL
Other
Enumeration date
05/05/2017
Last updated
05/05/2017
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