Active NPI
Lifemine Health, LLC
- Primary Care Clinic/Center
- Willowbrook, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 036089038
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D1076288 | Lifemine Health L L C | Certificate of waiver | Nov 8, 2027 |
National Provider Directory
National Provider DirectoryLocations
6847 Kingery Hwy
Willowbrook, IL 60527
Phone (630) 655-9555
Interoperability endpoints
- 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.
-
- Internal Medicine Physician
- Willowbrook, IL
- NPI 1851477236
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.