Lifehouse Health Group,LLC
Organization Active NPI Clinic/Center · Dixmoor, IL
NPI 1982182994 · NPPES record last updated Aug 1, 2018
Key facts
- NPI
- 1982182994
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- LIFEHOUSE HEALTH GROUP,LLC
- Practice address
- 14127 Levitt Ave
Dixmoor, IL 60406 - Phone
- (847) 839-1525
- NPI assigned
- Aug 1, 2018
- Organization subpart
- No
Authorized official
- Name
- Mr. Jesse Fuller
- Title
- Manager
- Phone
- (847) 839-1525
National Provider Directory
Locations
800 E Northwest Hwy
Ste 713
Palatine, IL 60074
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
14127 Levitt Ave
Dixmoor, IL 60406
Mailing address
800 E Northwest Hwy Ste 713
Palatine, IL 60074-6519
Phone (847) 839-1525
Other providers in Dixmoor, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.