Optimum Faith Lab Corp
Optimum Faith Lab Corp provides Nursing Facility Supplies (DME) in Waukegan, Illinois. Registered with an NPI since 2020.
- In the registry since
- 2020
What do these letters mean?
- Corp — Corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1109 Washington StWaukegan, IL 60085-5301
Phone: (224) 610-0434
Fax: (855) 325-1872
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nursing Facility Supplies (DME) (primary) | Taxonomy 332BN1400X |
|---|
Record details
| NPI number | 1952922908 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Optimum Faith Lab Corp |
| Authorized official | Opal Mullings — Manager · (224) 610-0434 |
| NPI enumerated | April 30, 2020 |
| Last updated in NPPES | April 30, 2020 |
| Certification date | April 30, 2020 |
| Mailing address | 1109 Washington St, Waukegan, IL 60085-5301 |