CHICAGO ANTI AGING INSTITUTE SC (NPI# 1003376245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003376245 |
| Entity Type | Organization |
| Organization Name | CHICAGO ANTI AGING INSTITUTE SC |
| Practice Address |
16622 W 159th St Ste 500 Lockport IL 60441-8015 |
| Practice Telephone | 8158387746 |
| Practice Fax Number | 8158385090 |
| Mailing Telephone | 8158387746 |
| Mailing Fax Number | 8158385090 |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2019-03-22 |
| Authorized Official Name | DR. LOREN DAVIS (PRESIDENT) |
| Authorized Official Telephone | 7082672164 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Chicago Anti Aging Institute | Doing Business As Name - Organization |
| Street Address |
16622 W 159TH ST STE 500 |
| City | LOCKPORT |
| State | IL |
| Zip Code | 60441-8015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285879098 | Chicago Spine Institute PC | Chiropractor | 16622 W 159th St Ste 500, Lockport, IL 60441-8015 | 2008-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366951840 | Samantha Jo Gehrig | Counselor | 16504 W 146th Pl, Lockport, IL 60441 | 2017-09-27 |
| 1275939415 | Walid Habbal | Dentist | 12612 S. Harlem Ave, Palos Heights, IL 60441 | 2014-11-17 |
| 1205240975 | Angelica Wujcik | Chiropractor | 420 Summit Drive, Lockport, IL 60441 | 2014-06-20 |
| 1720418916 | Melissa Obrien | Dietitian, Registered | 16221 W 159th St Ste 102, Lockport, IL 60441 | 2013-11-25 |
| 1033467535 | Trinity Services Inc. | Clinic/Center | 1017 S State St., Lockport, IL 60441 | 2012-08-15 |
| 1013219427 | Christopher David Baran | Nurse Anesthetist, Certified Registered | 1114 East Treeline Drive, Lockport, IL 60441 | 2010-11-18 |
| 1871736868 | Advanced Family Dental & Chiropractic of Lockport PC | Dentist | 730 South Washington St, Lockport, IL 60441 | 2009-04-07 |
| 1922292432 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 16241 South Farrell Rd, Lockport, IL 60441 | 2007-08-29 |
| 1407979438 | Joanne Adel Nasra | Developmental Therapist | 16136 Bent Grass Drive, Lockport, IL 60441 | 2007-04-06 |
| 1497800536 | Patrick Francis Healy | Dentist | 916 7th St, Lockport, IL 60441 | 2007-01-25 |
| Find all providers in zip 60441 | ||||
| Taxonomy Code | 204C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine, Sports Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679119945 | Rebecca June Anstee | Neuromusculoskeletal Medicine, Sports Medicine | 5140 N California Ave # 804, Chicago, IL 60625-3645 | 2019-11-21 |
| 1518064724 | Advanced Health & Physicians | Neuromusculoskeletal Medicine, Sports Medicine | 1767 W Ogden Ave Ste 153, Naperville, IL 60540-5008 | 2006-09-20 |
| 1811978059 | Latifah Sabree | Neuromusculoskeletal Medicine, Sports Medicine | 8541 S State St, Suite 8, Chicago, IL 60619-5665 | 2005-11-07 |
| 1043205248 | James L Greco | Neuromusculoskeletal Medicine, Sports Medicine | 6723 Roosevelt Rd, Berwyn, IL 60402-1007 | 2005-09-14 |
| 1245898857 | Catherine Miller | Neuromusculoskeletal Medicine, Sports Medicine | 625 Enterprise Dr, Oak Brook, IL 60523-8813 | 2019-05-30 |
| 1467856005 | Naprapathy, Integrative Health & Wellness Inc | Neuromusculoskeletal Medicine, Sports Medicine | 17 N Wabash Ave, Suite 450, Chicago, IL 60602-4704 | 2014-10-10 |
| 1770906638 | Allied Medical Associates, Ltd. | Neuromusculoskeletal Medicine, Sports Medicine | 2172 Blackberry Dr, Suite 206, Geneva, IL 60134-1102 | 2014-01-29 |
| 1205192978 | Illinois Orthopedic Network, LLC | Neuromusculoskeletal Medicine, Sports Medicine | 712 N Dearborn St, Chicago, IL 60654-3818 | 2012-04-07 |
| 1992016414 | Chicago Pain & Orthopedic Institute | Neuromusculoskeletal Medicine, Sports Medicine | 467 W Erie St, Chicago, IL 60654-5704 | 2010-06-30 |
| 1740324177 | Prairie State Sports Medicine Center, Sc | Neuromusculoskeletal Medicine, Sports Medicine | 2900 Foxfield Rd, St Charles, IL 60174-5799 | 2007-02-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.