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Chicago Anti Aging Institute Sc
Sports Medicine (Neuromusculoskeletal Medicine) Physician in Lockport, Illinois
NPI 1003376245

Chicago Anti Aging Institute Sc is a Sports Medicine (Neuromusculoskeletal Medicine) Physician based in Lockport, IL. Chicago Anti Aging Institute Sc practices in Lockport, IL. The NPI Number for Chicago Anti Aging Institute Sc is 1003376245 and holds a License No. (Illinois).

The current practice location address for Chicago Anti Aging Institute Sc is 16622 W 159Th St Ste 500, Lockport, IL and can be reached out via phone at 815-838-7746 and via fax at 815-838-5090.

Location: 16622 W 159Th St Ste 500, Lockport, IL, 60441-8015
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003376245
Provider Name
Chicago Anti Aging Institute Sc
Credential
Provider Entity Type
Organization
Address
16622 W 159Th St Ste 500, Lockport, IL, 60441-8015
Phone Number
815-838-7746
Fax Number
815-838-5090
Provider Enumeration Date
03/22/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
16622 W 159Th St Ste 500
City
Lockport
State
Illinois
Zip
60441-8015
Phone Number
815-838-7746
Fax Number
815-838-5090
person
Provider Business Mailing Address Details
Address
16622 W 159Th St Ste 500
City
Lockport
State
Illinois
Zip
60441-8015
Phone Number
815-838-7746
Fax Number
815-838-5090
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Neuromusculoskeletal Medicine, Sports Medicine
Speciality
-
Taxonomy
204C00000X
License No.
()
Definition
Definition to come.
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