NPI 1003376245

Chicago Anti Aging Institute Sc

Organisation Sports Medicine (Neuromusculoskeletal Medicine) Physician Lockport, IL

Practice location

Address: 16622 W 159th St STE 500, Lockport, IL 60441-8015
Phone: (815) 838-7746
Fax: (815) 838-5090

Authorised official

Name: Loren Davis
Title: President
Phone: (708) 267-2164

Registered specialties

Sports Medicine (Neuromusculoskeletal Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 204C00000X

Other Neuromusculoskeletal Medicine, Sports Medicine providers in Illinois →

Registry record

NPI: 1003376245
Entity type: Organization
NPI issued: 22 Mar 2019
Record last updated: 22 Mar 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.