NPI | 1164698015 |
---|---|
Other Name | OPTIMA MEDICAL ASSOCIATES, LTD. |
Entity Type | Organization |
Authorized Contact | BRIAN RAGONA Md 815-729-0129 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 042007451) |
Enumeration Date | 2008-05-01 |
Last Update Date | 2008-05-28 |