Cammi, LLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

036.085053 Issued in IL

Legal business name

CAMMI, LLC

Doing business as

LifeForce Medical Institute

Practice address

1840 Oak Ave
Suite 125
Evanston, IL 60201-3642

Phone

(773) 649-4154

Fax

(773) 453-3202

NPI assigned

Mar 16, 2012

Last updated

Mar 16, 2012By 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

Mark Rosenbloom, MD, MBA, FAAEM

Title

Chief Medical Officer

Phone

(773) 649-4154

Specialties & licenses 1

Addresses

Other names 1

• LifeForce Medical Institute Doing business as

Locations

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

{
    "created_epoch": "1331856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331856000000",
    "number": "1255606778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 OAK AVE",
            "address_2": "SUITE 125",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013642",
            "telephone_number": "773-649-4154",
            "fax_number": "773-453-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 OAK AVE",
            "address_2": "SUITE 125",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013642",
            "telephone_number": "773-649-4154",
            "fax_number": "773-453-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMMI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-16",
        "last_updated": "2012-03-16",
        "status": "A",
        "authorized_official_last_name": "ROSENBLOOM",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "773-649-4154",
        "authorized_official_credential": "MD, MBA, FAAEM"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "IL",
            "license": "036.085053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeForce Medical Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rubi Mercedes Cali Ortiz
• Melody Calla Reed, PA-C
• Audrey Callahan, PA-C
• Caroline Callahan, MS
• Connor Callahan
• Franco Campanella, D.O.
• Angela Chermayne Campbell
• Jean E Campbell, MSW
• Nicholas Paul Campbell, MD
• Thomas J Campbell, MD

• Exclusive Provider Organization in Evanston, IL
• Providers in Evanston, IL by specialty
• Exclusive Provider Organization in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; 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.