Timless Men's Health Clinic, PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

TIMLESS MEN'S HEALTH CLINIC, PLLC

Practice address

565 Lakeview Pkwy Ste 192
Vernon Hills, IL 60061-1838

Phone

(224) 504-2152

NPI assigned

Sep 10, 2024

Last updated

Sep 10, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Priti Patel

Title

Manager

Phone

(469) 360-3304

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sheri Nichole Jakupovic, APN

  • Adult Health Nurse Practitioner
  • River Forest, IL
  • NPI 1346786803
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1053147611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 LAKEVIEW PKWY STE 192",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 LAKEVIEW PKWY STE 192",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611838",
            "telephone_number": "224-504-2152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMLESS MEN'S HEALTH CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PRITI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "469-360-3304"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geetha D Thirumala, DMD
• Susan M. Thomas, MD
• Thrive Counseling and Consulting, LLC
• Cecelia Yvette Thurman, PA
• Charlene Tillis, PHARMD
• Melissa Erin Tolman, M.S.
• Lynda D. Toner, PA-C
• Top Tier Counseling & Consulting, LTD
• Total Renal Care Inc (Lake County Dialysis Services)
• Touchstone Therapy Center

• Family Nurse Practitioner in Vernon Hills, IL
• Providers in Vernon Hills, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.