NPI 1588078844

Lifeforce Medical Institute

Organisation Public Health & General Preventive Medicine Physician Northbrook, IL

Practice location

Address: 60 Revere Dr Site 820, Northbrook, IL 60062-1563
Phone: (847) 563-4493

Authorised official

Name: Mark Rosenbloom
Title: Owner
Phone: (847) 563-4493

Registered specialties

Public Health & General Preventive Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083P0901X Licence 336047254 (IL)

Other Preventive Medicine providers in Illinois →

Registry record

NPI: 1588078844
Entity type: Organization
NPI issued: 16 Jun 2014
Record last updated: 16 Jun 2014

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.