Provider Demographics
NPI:1881395689
Name:OPTIMIZED HEALTH PLLC
Entity type:Organization
Organization Name:OPTIMIZED HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LINDISAS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:224-999-7484
Mailing Address - Street 1:2935 CENTRAL ST STE A
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-1265
Mailing Address - Country:US
Mailing Address - Phone:224-999-7484
Mailing Address - Fax:224-999-7285
Practice Address - Street 1:2935 CENTRAL ST STE A
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-1265
Practice Address - Country:US
Practice Address - Phone:224-999-7484
Practice Address - Fax:224-999-7285
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-17
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty