THE LIFEFORCE CENTER, INC. (NPI# 1144372558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144372558 |
| Entity Type | Organization |
| Organization Name | THE LIFEFORCE CENTER, INC. |
| Practice Address |
3111 Dundee Rd Northbrook IL 60062-2402 |
| Mailing Address |
1300 W Belmont Ave Suite 407 Chicago IL 60657-3200 |
| Practice Telephone | 8475620840 |
| Mailing Telephone | 7738801363 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CHAD C. LARSON (PRESIDENT) |
| Authorized Official Telephone | 7738801363 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 38007103 | IL | Chiropractic Providers |
| Street Address |
3111 DUNDEE RD |
| City | NORTHBROOK |
| State | IL |
| Zip Code | 60062-2402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972928679 | Medical Management Group Sc | Internal Medicine | 3111 Dundee Rd, Suite 506, Northbrook, IL 60062-2402 | 2014-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487067 | Cvs Aoc Services, L.L.C. | Optometrist | 936 Willow Road, Store 0141, Northbrook, IL 60062 | 2020-05-06 |
| 1386103885 | Jennifer Venegas | Behavior Technician | 5 Revere Dr Suit 120, Northbrook, IL 60062 | 2019-03-14 |
| 1720558281 | Taylor Hundley | Behavior Technician | 5 Revere Dr. Suite 120, Northbrook, IL 60062 | 2018-11-27 |
| 1609344027 | Melissa Cepeda | Behavior Technician | 5 Revere Dr Suite 120, Northbrook, IL 60062 | 2018-11-03 |
| 1235606658 | Candace Cheyenne Kaiser | Behavior Technician | 5 Revere Dr, Suite 120, Northbrook, IL 60062 | 2018-10-24 |
| 1275058745 | The Renfrew Center of Illinois | Counselor | 5 Revere Dr, Suite 100, Northbrook, IL 60062 | 2017-08-07 |
| 1467984773 | Ayzenshteyn Chiropractic | Chiropractor | 3210 Doolittle Dr., Northbrook, IL 60062 | 2017-03-28 |
| 1396282695 | Josephine Driscoll | Physician Assistant | 400 Skokie Blvd., Suite 450, Northbrook, IL 60062 | 2017-01-24 |
| 1396297842 | Lauren Raphael Lcsw LLC | Social Worker | 3050 Pheasant Creek Drive, Apt. 104, Northbrook, IL 60062 | 2016-11-01 |
| 1851847073 | Jassim Vailoces | Physical Therapist | 634 Academy Dr, Northbrook, IL 60062 | 2016-08-28 |
| Find all providers in zip 60062 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467984773 | Ayzenshteyn Chiropractic | Chiropractor | 3210 Doolittle Dr., Northbrook, IL 60062 | 2017-03-28 |
| 1013269513 | Atlas 2 Health Solutions Inc. | Chiropractor | 105 Revere Dr, Suite F-1, Northbrook, IL 60062-1594 | 2012-10-08 |
| 1962725002 | Stephen Arlie Holcomb | Chiropractor | 43 Skokie Blvd, Northbrook, IL 60062-1607 | 2010-03-03 |
| 1285886762 | Jeffrey Ryan Schwan | Chiropractor | 3340 Dundee Rd, Suite 2c4, Northbrook, IL 60062-2324 | 2008-10-16 |
| 1598989188 | Jae Hyung Lim | Chiropractor | 3534 Milwaukee Ave, Northbrook, IL 60062-7130 | 2007-04-13 |
| 1710039995 | Brendan Daniel Lee | Chiropractor | 3210 Doolittle Dr, Northbrook, IL 60062-2411 | 2007-01-17 |
| 1851443329 | Boris Veller | Chiropractor | 1500 Shermer Rd Ste 1se, Northbrook, IL 60062-5343 | 2007-01-17 |
| 1730100702 | Alexander Prager | Chiropractor | 1434 Shermer Road, Northbrook, IL 60062-5332 | 2006-07-22 |
| 1073556486 | Jose Luis Aguilar Jr. | Chiropractor | 300 Skokie Blvd, Stel, Northbrook, IL 60062-1625 | 2006-06-14 |
| 1124067442 | Andrew B Serlin | Chiropractor | 3113 Dundee Rd, Northbrook, IL 60062-2402 | 2006-06-05 |
| Find all providers in NORTHBROOK | ||||
| City | NORTHBROOK |
| Zip Code | 60062 |
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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.