Active NPI
Chicago Anti-Aging Institution 2
- Integrative Medicine Physician
- Orland Park, IL
National Provider Identifier
1033030564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Integrative Medicine Physician
- Legal business name
- CHICAGO ANTI-AGING INSTITUTION 2
- Practice address
- 14497 John Humphrey Dr Ste 101
Orland Park, IL 60462-2637 - Phone
- (815) 905-3506
- Fax
- (815) 905-3822
- NPI assigned
- Jul 22, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Loren Davis, DC
- Title
- President
- Phone
- (708) 267-2164
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Integrative Medicine Physician | 202D00000X | Primary |
Addresses
Primary practice location
14497 John Humphrey Dr Ste 101
Orland Park, IL 60462-2637
Mailing address
14497 John Humphrey Dr Ste 101
Orland Park, IL 60462-2637
Phone (815) 905-3506
National Provider Directory
National Provider DirectoryLocations
14497 John Humphrey Dr
Ste 101
Orland Park, IL 60462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784678400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787097600000",
"number": "1033030564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14497 JOHN HUMPHREY DR STE 101",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604622637",
"telephone_number": "815-905-3506",
"fax_number": "815-905-3822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14497 JOHN HUMPHREY DR STE 101",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604622637",
"telephone_number": "815-905-3506",
"fax_number": "815-905-3822"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHICAGO ANTI-AGING INSTITUTION 2",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-22",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "LOREN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "708-267-2164",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "202D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Integrative Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.