MIDWEST ANTI-AGING (NPI# 1518261304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518261304 |
| Entity Type | Organization |
| Organization Name | MIDWEST ANTI-AGING |
| Practice Address |
845 N Michigan Ave Suite 930 E Chicago IL 60611-2252 |
| Mailing Address |
10181 W Lincoln Hwy Frankfort IL 60423-1274 |
| Practice Telephone | 3129272491 |
| Practice Fax Number | 3122020326 |
| Mailing Telephone | 8154647212 |
| Mailing Fax Number | 8154647251 |
| Enumeration Date | 2011-01-07 |
| Last Update Date | 2011-01-07 |
| Authorized Official Name | NANCY SHEMING (MEDICAL ASSISTANT) |
| Authorized Official Telephone | 8154647212 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
845 N MICHIGAN AVE SUITE 930 E |
| City | CHICAGO |
| State | IL |
| Zip Code | 60611-2252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902806649 | Michael Applebaum | Radiology | 845 N Michigan Ave, Suite 935 East, Chicago, IL 60611-2252 | 2005-07-22 |
| 1740849009 | Irene Okada | Physical Therapist | 845 N Michigan Ave, Chicago, IL 60611-2252 | 2019-06-11 |
| 1275077471 | Dr. Ramy Bahu, Dds Aesthetic & Reconstructive Dental Associates | Dentist | 845 N Michigan Ave, Suite 948w, Chicago, IL 60611-2252 | 2016-12-07 |
| 1962953901 | Sarah Green | Social Worker | 845 N Michigan Ave, Suite 973, Chicago, IL 60611-2252 | 2016-10-14 |
| 1164888418 | Sarah Jacobs | Physical Therapist | 845 N Michigan Ave, Professional Suites 973 W, Chicago, IL 60611-2252 | 2016-01-01 |
| 1669868097 | Erin Rusher | Dietitian, Registered | 845 N Michigan Ave, Ste 973w, Chicago, IL 60611-2252 | 2015-04-13 |
| 1225427164 | Margaret Geraci | Dietitian, Registered | 845 N Michigan Ave, Suite 973w, Chicago, IL 60611-2281 | 2015-01-15 |
| 1669870945 | Zounds Hearing | Durable Medical Equipment & Medical Supplies | 845 N Michigan Ave, 983w, Chicago, IL 60611-2252 | 2014-12-18 |
| 1093115230 | Kate Kloet | Dietitian, Registered | 845 N Michigan Ave, Suite 973w, Chicago, IL 60611-2252 | 2014-08-25 |
| 1326451691 | Water Tower Endodontics, Ltd. | Clinic/Center | 845 N Michigan Ave, Auite 921 East, Chicago, IL 60611-2252 | 2014-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| 1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
| 1487267845 | Ashley Marie Sablich | Student in an Organized Health Care Education/Training Program | 250 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2020-08-26 |
| 1245854033 | Danielle Humphrey | Student in an Organized Health Care Education/Training Program | Pa Program, Suite 1-200, 240 East Huron Street, Chicago, IL 60611 | 2020-06-08 |
| 1801418074 | Sana Healing Collective | Clinic/Center | 405 N. Wabash Street, Chicago, IL 60611 | 2020-05-11 |
| 1194359489 | Insight:eating Disorders, Weight Management & Psychological Centers | Psychiatric Hospital | 1 E. Erie Street, 4th Floor, Chicago, IL 60611 | 2020-02-26 |
| 1902439193 | Iwona Boska | Nurse Practitioner | 676 N St.clair Street, Suite 2140, Chicago, IL 60611 | 2020-02-17 |
| 1922643576 | Sarah Elizabeth Schwartzer | Audiologist | Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 | 2019-11-07 |
| 1023668852 | Anne Marguerite Davidson | Student in an Organized Health Care Education/Training Program | Mcgraw Medical Center, 240 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2019-09-13 |
| 1871141085 | Coast Management | Durable Medical Equipment & Medical Supplies | 40 E. Chicago Ave, Suite 149, Chicago, IL 60611 | 2019-08-30 |
| Find all providers in zip 60611 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| 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. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346899630 | Jeremy Gantz Morse | Specialist | 815 W Buena Ave, Chicago, IL 60613-1694 | 2019-09-09 |
| 1619539632 | Benjamin Mendoza | Specialist | 6303 W 63rd St Unit 3c, Chicago, IL 60638-7015 | 2019-06-29 |
| 1811471808 | Judith M Penn | Specialist | 8312 S Kedzie Ave, Chicago, IL 60652-3309 | 2018-09-17 |
| 1841774825 | Matthew E Huggins | Specialist | 4553 W 56th St Apt 204c, Chicago, IL 60629-5389 | 2018-09-17 |
| 1750860177 | Muhammad Asim Khan | Specialist | 60 E Delaware Pl, Chicago, Il 60611, 14th Floor Urology- Andrology Clinic, Chicago, IL 60611 | 2018-08-07 |
| 1922502657 | Shauntay Robertson | Specialist | 7342 S Richmond St, Chicago, IL 60629-3015 | 2018-03-19 |
| 1114448644 | Ageless Men's Health Holdings Inc | Specialist | 1729 N Clybourn Ave, Chicago, IL 60614-6503 | 2017-07-06 |
| 1447798871 | Andria Miller | Specialist | 840 N Western Ave, Chicago, IL 60622-4638 | 2017-02-06 |
| 1710425129 | Rtb Sc | Specialist | 5015 N. Paulina #225, Chicago, IL 60640 | 2017-02-06 |
| 1881137354 | Joy Deliverance Williamson | Specialist | 3863 W Flournoy St, Apt. 1w, Chicago, IL 60624-3617 | 2016-11-30 |
| Find all providers in CHICAGO | ||||
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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.