Organization Active NPI

Midlife Care Services Inc.

  • Clinical Medical Laboratory
  • Chicago, IL
National Provider Identifier
1952152605
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MIDLIFE CARE SERVICES INC.
Practice address
2721 W Peterson Ave Ste 102
Chicago, IL 60659-3919
Phone
(773) 865-0539
NPI assigned
Apr 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Authorized official

Name
Nazeer Ahmed Mohammed
Title
President & Secretary
Phone
(773) 312-0874

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

2721 W Peterson Ave Ste 102
Chicago, IL 60659-3919

Mailing address

2721 W Peterson Ave Ste 102
Chicago, IL 60659-3919
Phone (773) 865-0539

National Provider Directory

National Provider Directory

Locations

2721 W Peterson Ave
Ste 102
Chicago, IL 60659
Phone (773) 312-0874

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1952152605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2721 W PETERSON AVE STE 102",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593919",
            "telephone_number": "773-865-0539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 W PETERSON AVE STE 102",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593919",
            "telephone_number": "773-865-0539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLIFE CARE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "MOHAMMED",
        "authorized_official_first_name": "NAZEER AHMED",
        "authorized_official_title_or_position": "PRESIDENT & SECRETARY",
        "authorized_official_telephone_number": "773-312-0874"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.