NPI | 1326409442 |
---|---|
Doing Business As | OPTIM MEDICAL CENTER - TATTNALL |
Entity Type | Organization |
Authorized Contact | DAVID PERRY CEO 312-627-8247 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
Additional Taxonomies | 207T00000X Neurological Surgery |
207X00000X Orthopaedic Surgery | |
208100000X Physical Medicine & Rehabilitation | |
2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
2084P2900X Psychiatry & Neurology, Pain Medicine | |
208600000X Surgery | |
Enumeration Date | 2016-03-17 |
Last Update Date | 2021-07-23 |