Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Novalife Medical, PLLC

Organization Geriatric Medicine (Internal Medicine) Physician · NPI 1417816919

Novalife Medical, PLLC provides Geriatric Medicine (Internal Medicine) Physician services in Chicago, Illinois. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1201 N La Salle Dr Apt 3011
Chicago, IL 60610-3053
Phone: (773) 680-7011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X

Record details

NPI number1417816919
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diana Singh — Credentialing Specialist · (407) 450-4491
NPI enumeratedJanuary 20, 2026
Last updated in NPPESJanuary 20, 2026
Certification dateJanuary 20, 2026
Mailing address1201 N La Salle Dr Apt 3011, Chicago, IL 60610-3053

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