Organization Active NPI

Chicago Anti-Aging Institution 2

  • Integrative Medicine Physician
  • Orland Park, IL
National Provider Identifier
1033030564
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Integrative Medicine PhysicianTaxonomy code 202D00000X
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

Updated by the provider on Aug 19, 2026

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)CodeLicenseStatePrimary
Integrative Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.