Organization Active NPI

Optimum Health Clinic

  • Sports Physician Chiropractor
  • Prospect Heights, IL
National Provider Identifier
1649495474
Registry record updated Nov 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
038009253 Issued in IL
Legal business name
OPTIMUM HEALTH CLINIC
Practice address
7 N Wolf Rd
Prospect Heights, IL 60070-1749
Phone
(847) 297-2225
Fax
(247) 297-2096
NPI assigned
Apr 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2010

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

Authorized official

Name
Ms. Dotti Losik
Title
Office Manager
Phone
(847) 297-2225

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NS0005X 038009253 IL Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 070016717 IL

Addresses

Primary practice location

7 N Wolf Rd
Prospect Heights, IL 60070-1749

Mailing address

7 N Wolf Rd
Prospect Heights, IL 60070-1749
Phone (847) 297-2225

National Provider Directory

National Provider Directory

Locations

7 N Wolf Rd
Prospect Hts, IL 60070
Phone (847) 297-2225

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1649495474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 N WOLF RD",
            "city": "PROSPECT HEIGHTS",
            "state": "IL",
            "postal_code": "600701749",
            "telephone_number": "847-297-2225",
            "fax_number": "247-297-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 N WOLF RD",
            "city": "PROSPECT HEIGHTS",
            "state": "IL",
            "postal_code": "600701749",
            "telephone_number": "847-297-2225",
            "fax_number": "247-297-2096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "LOSIK",
        "authorized_official_first_name": "DOTTI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "847-297-2225",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "IL",
            "license": "038009253",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070016717",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prospect Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; 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.