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Ageless Men'S Health Holdings, LLC

Organization Active NPI Specialist · Downers Grove, IL

NPI 1700212602 · NPPES record last updated Nov 22, 2024

Key facts

NPI
1700212602
Entity type
Organization (NPI type 2)
Primary specialty
Specialist 174400000X
Legal business name
AGELESS MEN'S HEALTH HOLDINGS, LLC
Practice address
1315 Butterfield Rd Ste 206
Downers Grove, IL 60515-5602
Phone
(901) 757-3643
Fax
(901) 757-7762
NPI assigned
Sep 24, 2013
Organization subpart
No

Authorized official

Name
Amanda Wilkinson
Title
Business Operations Director
Phone
(702) 818-0446

Corporate family (same tax ID) 17

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Ageless Men'S Health (18 organizations share this tax ID)

Locations

1307 Butterfield Rd
Ste 420
Downers Grove, IL 60515

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist
Group: 193400000X SINGLE SPECIALTY GROUP		 174400000X Yes

Addresses

Primary practice location

1315 Butterfield Rd Ste 206
Downers Grove, IL 60515-5602

Mailing address

1315 Butterfield Rd Ste 206
Downers Grove, IL 60515-5602
Phone (901) 757-3643

Other names

  • Ageless Men's Health Doing business as

Other providers in Downers Grove, IL

All providers in Downers Grove, IL · Specialist in Illinois

Sources for this page

Verify at the official NPI Registry.