Organization Active NPI

Optimal Healing, Inc.

  • Nutrition Chiropractor
  • Chicago, IL
National Provider Identifier
1619221835
Registry record updated Nov 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
038012243 Issued in IL
Legal business name
OPTIMAL HEALING, INC.
Practice address
2202 N Lincoln Ave
Suite #1
Chicago, IL 60614-7170
Phone
(312) 448-8122
Fax
(773) 248-2058
NPI assigned
Nov 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mina H. Patel, DC
Title
President/Owner
Phone
(312) 448-8122

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NN1001X 038012243 IL Primary
Rehabilitation ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NR0400X 038012243 IL

Addresses

Primary practice location

2202 N Lincoln Ave
Suite #1
Chicago, IL 60614-7170

Mailing address

2202 N Lincoln Ave
Suite #1
Chicago, IL 60614-7170
Phone (312) 448-8122

National Provider Directory

National Provider Directory

Locations

2202 N Lincoln Ave
Ste 1
Chicago, IL 60614
Phone (773) 248-2790

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1352419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352419200000",
    "number": "1619221835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 N LINCOLN AVE",
            "address_2": "SUITE #1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606147170",
            "telephone_number": "312-448-8122",
            "fax_number": "773-248-2058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 N LINCOLN AVE",
            "address_2": "SUITE #1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606147170",
            "telephone_number": "312-448-8122",
            "fax_number": "773-248-2058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL HEALING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-09",
        "last_updated": "2012-11-09",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MINA",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "312-448-8122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "IL",
            "license": "038012243",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "IL",
            "license": "038012243",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.