Lifeforce Medical Institute

LBN: Chicago Age Management Institute
Lifeforce Medical Institute is an health care organization with primary practice located at 60 Revere Dr Ste 820 , Northbrook IL 60062-1580. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, which is considered as the primary health care specialty. Chicago Age Management Institute can be contacted via phone (847) 905-9505, or through Rosenbloom, Mrak via phone (847) 905-9505.

Contact Information

Primary practice address
60 Revere Dr Ste 820 Northbrook IL 60062-1580
Phone: (847) 905-9505
Fax: (847) 905-7344
Website:
Map and Directions
Authorized official contact:
Name: Rosenbloom, Mrak Doctor of Medicine (MD)
Phone: (847) 905-9505

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X

Profile Details

NPI number 1083052609
LBN Legal business name Chicago Age Management Institute
DBA Doing business as Lifeforce Medical Institute
Authorized official Rosenbloom, Mrak Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2013
Last updated Jun 5th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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