| Optimal Vitality | |
|
200 S Frontage Rd Ste 324 Burr Ridge IL 60527-6953 | |
| (630) 360-1173 | |
| (331) 992-2358 |
| Full Name | Optimal Vitality |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 200 S Frontage Rd Ste 324, Burr Ridge, Illinois |
| Authorized Official Name and Position | Brandi Kristen Boan (OWNER) |
| Authorized Official Contact | 6306492819 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimal Vitality 200 S Frontage Rd Ste 324 Burr Ridge IL 60527-6953 Ph: (630) 360-1173 | Optimal Vitality 200 S Frontage Rd Ste 324 Burr Ridge IL 60527-6953 Ph: (630) 360-1173 |
| NPI Number | 1457131328 |
|---|---|
| Provider Enumeration Date | 09/29/2023 |
| Last Update Date | 09/29/2023 |
| Certification Date | 09/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457131328 | NPI | - | NPPES |
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