Chicago Anti Aging Institute SC
Chicago Anti Aging Institute SC provides Sports Medicine (Neuromusculoskeletal Medicine) Physician services in Lockport, Illinois. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
16622 W 159th St Ste 500Lockport, IL 60441-8015
Phone: (815) 838-7746
Fax: (815) 838-5090
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Specialties & licences
| Sports Medicine (Neuromusculoskeletal Medicine) Physician (primary) | Taxonomy 204C00000X |
|---|
Record details
| NPI number | 1003376245 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Loren Davis — President · (708) 267-2164 |
| Other names | Chicago Anti Aging Institute |
| NPI enumerated | March 22, 2019 |
| Last updated in NPPES | March 22, 2019 |
| Mailing address | 16622 W 159th St Ste 500, Lockport, IL 60441-8015 |