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CHICAGO AGE MANAGEMENT INSTITUTE NPI 1083052609


NPI Information

NPI: 1083052609
Provider Name: CHICAGO AGE MANAGEMENT INSTITUTE

Doing Business As: LIFEFORCE MEDICAL INSTITUTE

Classification: Preventive Medicine - 2083P0901X
Entity Type: Organization

Specialization: Public Health & General Preventive Medicine

Address:
60 REVERE DR STE 820
NORTHBROOK, IL
ZIP 60062
Phone: (847) 905-9505
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CHICAGO AGE MANAGEMENT INSTITUTE is a public health and general preventive medicine preventive medicine in Northbrook, IL. The provider is public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. CHICAGO AGE MANAGEMENT INSTITUTE NPI is 1083052609. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lifeforce Medical Institute.

The provider's business location address is:

60 REVERE DR STE 820
NORTHBROOK, IL
ZIP 60062-580
Phone: (847) 905-9505
Fax: (847) 905-7344

The provider's authorized official is Mrak Rosenbloom .
The authorized official title is Chief Medical Officer, Ceo and has the following contact phone number (847) 905-9505.

The enumeration date for this NPI number is 6/5/2013 and was last updated on 6/5/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12083P0901XPreventive MedicinePublic Health & General Preventive MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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