Provider Demographics
NPI:1992754816
Name:OPTIMUM HEALTHCARE SOLUTIONS, LLC
Entity type:Organization
Organization Name:OPTIMUM HEALTHCARE SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:LARSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:224-688-2945
Mailing Address - Street 1:3333 N KENNICOTT AVENUE
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-1429
Mailing Address - Country:US
Mailing Address - Phone:855-550-9427
Mailing Address - Fax:224-434-4944
Practice Address - Street 1:3333 N KENNICOTT AVENUE
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-1429
Practice Address - Country:US
Practice Address - Phone:855-550-9427
Practice Address - Fax:224-434-4944
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-08
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty