NPI Provider: 1740286483
Contact Name: GOODWIN KATHY
Position: CO-OWNER
Phone: (309) 762-7979
Option Health Ltd Information:
Option Health Ltd organization have npi 1740286483, taxonomy code is 251E00000X with license number is 33390 in . This Business address located in 5111 22nd Ave, Moline, IL 61265 Illinois.
Practice Location
Address: 5111 22nd Ave, Moline, IL 61265
Phone: (309) 762-7979
Business Location
Address: 5111 22nd Ave, Moline, IL 61265
Phone: (309) 762-7979
Fax: (309) 762-8094
Taxonomy
Taxonomy Code: 251E00000X
License Number: 33390
License Number of State: IL
Primary Taxonomy Switch: Y
Enumeration Date: 6/27/2005
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