NPI 1083052609

Chicago Age Management Institute

Organisation Public Health & General Preventive Medicine Physician Northbrook, IL

Practice location

Address: 60 Revere Dr STE 820, Northbrook, IL 60062-1580
Phone: (847) 905-9505
Fax: (847) 905-7344

Authorised official

Name: Mrak Rosenbloom
Title: Chief Medical Officer, Ceo
Phone: (847) 905-9505

Registered specialties

Public Health & General Preventive Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083P0901X

Other Preventive Medicine providers in Illinois →

Registry record

NPI: 1083052609
Entity type: Organization
NPI issued: 5 Jun 2013
Record last updated: 5 Jun 2013

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.