Optima Oral Systemic Solutions LLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

209004400 Issued in IL

Legal business name

OPTIMA ORAL SYSTEMIC SOLUTIONS LLC

Practice address

2460 S Eola Rd
Suite J
Aurora, IL 60503-6494

Phone

(630) 585-5600

NPI assigned

May 5, 2017

Organization subpart

No

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

Authorized official

Name

Catherine Gianan, NP

Title

LLC Member

Phone

(571) 331-4622

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1493942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493942400000",
    "number": "1770019010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 ADA LN",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605400354",
            "telephone_number": "571-331-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 S EOLA RD",
            "address_2": "SUITE J",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605036494",
            "telephone_number": "630-585-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMA ORAL SYSTEMIC SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-05",
        "last_updated": "2017-05-05",
        "status": "A",
        "authorized_official_last_name": "GIANAN",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "LLC MEMBER",
        "authorized_official_telephone_number": "571-331-4622",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209004400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Troy Michael Oracko, DMD

• Adult Health Nurse Practitioner in Aurora, IL
• Providers in Aurora, IL by specialty
• Adult Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; 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.