Optimum Health and Nutrition, Inc
NPI 1619390671ActiveOrganization· Exclusive Provider Organization· Hickory Hills, IL
Exclusive Provider Organization in Hickory Hills, Illinois, registered in NPPES in January 2014. The authorized official on file is Raquel Lopez, RDN, LDN, President/ Registered Dietitian.
Overview
| NPI | 1619390671 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 28, 2014 |
| Last updated in NPPES | Jan 28, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Exclusive Provider Organization Primary | 302F00000X | 164.005838 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Exclusive Provider Organization providers in Hickory Hills
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