Optimal Vitality

LBN: Optimal Vitality
Optimal Vitality is an health care organization with primary practice located at 200 S Frontage Rd Ste 324 , Burr Ridge IL 60527-6953. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Prescribing (Medical), Dietary & Nutritional Service Providers / Nutritionist, Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, Ambulatory Health Care Facilities / Health Service, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Optimal Vitality can be contacted via phone (630) 360-1173, or through Boan, Brandi Kristen via phone (630) 649-2819.

Contact Information

Primary practice address
200 S Frontage Rd Ste 324 Burr Ridge IL 60527-6953
Phone: (630) 360-1173
Fax: (331) 992-2358
Website:
Map and Directions
Authorized official contact:
Name: Boan, Brandi Kristen PSYD
Phone: (630) 649-2819

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Behavioral Health & Social Service Providers / Prescribing (Medical) 103TP0016X
Dietary & Nutritional Service Providers / Nutritionist 133N00000X
Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities 2084P0005X
Ambulatory Health Care Facilities / Health Service 261QH0100X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1457131328
LBN Legal business name Optimal Vitality
DBA Doing business as
Authorized official Boan, Brandi Kristen PSYD
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2023
Last updated Sep 29th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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