NPI 1033030564
Chicago Anti-Aging Institution 2, Sc
Practice location
- Address
- 14497 John Humphrey Dr STE 101, Orland Park, IL 60462-2637
- Phone
- (815) 905-3506
- Fax
- (815) 905-3822
Authorised official
- Name
- Loren Davis
- Title
- President
- Phone
- (708) 267-2164
Registered specialties
Integrative Medicine Physician
Primary
Registry record
- NPI
- 1033030564
- Entity type
- Organization
- NPI issued
- 22 Jul 2026
- Record last updated
- 22 Jul 2026
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.