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Midwest Anti-aging
Specialist in Chicago, Illinois
NPI 1518261304

Midwest Anti-aging is a Specialist based in Frankfort, IL. Midwest Anti-aging practices in Chicago, IL. The NPI Number for Midwest Anti-aging is 1518261304 and holds a License No. (Illinois).

The current practice location address for Midwest Anti-aging is 845 N Michigan Ave, Chicago, IL and can be reached out via phone at 312-927-2491 and via fax at 312-202-0326.

Location: 845 N Michigan Ave, Chicago, IL, 60423-1274
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518261304
Provider Name
Midwest Anti-aging
Credential
Provider Entity Type
Organization
Address
845 N Michigan Ave, Chicago, IL, 60423-1274
Phone Number
312-927-2491
Fax Number
312-202-0326
Provider Enumeration Date
01/07/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
845 N Michigan Ave
City
Chicago
State
Illinois
Zip
60611-2252
Phone Number
312-927-2491
Fax Number
312-202-0326
person
Provider Business Mailing Address Details
Address
845 N Michigan Ave
City
Chicago
State
Illinois
Zip
60611-2252
Phone Number
312-927-2491
Fax Number
312-202-0326
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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