Organization Active NPI

Lifemine Health, LLC

  • Primary Care Clinic/Center
  • Willowbrook, IL
National Provider Identifier
1740461664
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
036089038 Issued in IL
Legal business name
LIFEMINE HEALTH, LLC
Practice address
6847 Kingery Hwy
Willowbrook, IL 60527-5114
Phone
(630) 655-9555
Fax
(630) 655-9595
NPI assigned
Nov 20, 2007
Last updated
Nov 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Authorized official

Name
Dr. Anthony W. Delorenzo, D.O.NPI 1851477236
Title
Owner
Phone
(630) 655-9555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 036089038 IL Primary

Addresses

Primary practice location

6847 Kingery Hwy
Willowbrook, IL 60527-5114

Mailing address

6847 Kingery Hwy
Willowbrook, IL 60527-5114
Phone (630) 655-9555

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@lifeminehealth.e-mdsdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080107000303 IL Part B Supplier - Clinic/Group Practice 7214017003 Receives reassigned benefits from 1 practitioner
Practice locations: Willowbrook, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D1076288Lifemine Health L L C6847 Kingery Hwy, Willowbrook, IL 60527Certificate of waiverNov 8, 2027

National Provider Directory

National Provider Directory

Locations

6847 Kingery Hwy
Willowbrook, IL 60527
Phone (630) 655-9555

Interoperability endpoints

  • Direct secure messaging: admin@lifeminehealth.e-mdsdirect.com

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1740461664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6847 KINGERY HWY",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605275114",
            "telephone_number": "630-655-9555",
            "fax_number": "630-655-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6847 KINGERY HWY",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605275114",
            "telephone_number": "630-655-9555",
            "fax_number": "630-655-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEMINE HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "DELORENZO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-655-9555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": "036089038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@lifeminehealth.e-mdsdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6847 Kingery Hwy",
            "city": "Willowbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605275114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Willowbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.