Ageless Men'S Health Holdings Inc
Organization Active NPI Adult Medicine Physician · Chicago, IL
NPI 1114448644 · NPPES record last updated Nov 11, 2024
Key facts
- NPI
- 1114448644
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Medicine Physician 207QA0505X
- Legal business name
- AGELESS MEN'S HEALTH HOLDINGS INC
- Practice address
- 1729 N Clybourn Ave
Chicago, IL 60614-6503 - Phone
- (312) 291-8335
- Fax
- (312) 291-8337
- NPI assigned
- Jul 6, 2017
- Organization subpart
- No
Authorized official
- Name
- Amanda Wilkinson
- Title
- Business Operations Director
- Phone
- (702) 818-0446
Corporate family (same tax ID) 17
Practitioners 1
National Provider Directory
- Tax ID family
- Ageless Men'S Health
Locations
1535 Lake Cook Rd
Ste 212
Northbrook, IL 60062
Phone (224) 904-3373
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician |
207QA0505X | Yes |
Addresses
Primary practice location
1729 N Clybourn Ave
Chicago, IL 60614-6503
Mailing address
1729 N Clybourn Ave
Chicago, IL 60614-6503
Phone (312) 291-8335
Other practice location 1
1535 Lake Cook Rd Ste 212
Northbrook, IL 60062-1451
Phone (312) 374-3947
Other names
- Ageless Men's Health
Other providers in Chicago, IL
- David P. Agbunag
- Nardin Mohsen Ageeb
- Agefully
- Dolapo Ageh
- Ageless Eye Care P.C.
- Ageless Men'S Health Holdings, LLC
- Agents of Hope Training& Information Center
- Agents of Hope Training& Information Center
- Agents of Hope Training& Information Center
- Ishita Aggarwal
All providers in Chicago, IL · Adult Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.