Organization · Type 2 NPI
Ageless Men's Health Holdings Inc
Adult Medicine Physician · Chicago, IL
NPI number
1114448644
Active
Practice location
1729 N Clybourn Ave
Chicago, IL 60614-6503
Fax (312) 291-8337
Mailing address
10501 W Gowan Rd Ste 200
Las Vegas, NV 89129-6602
Other practice locations
- 1535 Lake Cook Rd Ste 212, Northbrook, IL 60062-1451 · (312) 374-3947
- 1325 Wiley Rd Ste 164, Schaumburg, IL 60173-4355 · (630) 317-7690
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | None listed |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
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About NPI 1114448644
Ageless Men's Health Holdings Inc's National Provider Identifier is 1114448644, issued on Jul 6, 2017. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Chicago, IL. The record was last updated on Oct 16, 2026.