Organization · Type 2 NPI

Ageless Men's Health Holdings, LLC

Specialist · Downers Grove, IL

NPI number 1700212602 Active

Practice location

1315 Butterfield Rd Ste 206
Downers Grove, IL 60515-5602

Fax (901) 757-7762

Specialties and licenses

Taxonomy	Code	License
Specialist Primary	174400000X	None listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

3 other providers at this address

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NPI record

NPI: 1700212602
Entity type: Organization (Type 2)
Issued: Sep 24, 2013
Last updated: Nov 22, 2024
Status: Active

Other names

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Ageless Men's Health · doing business as
Ageless Men's Health · doing business as

Authorized official

Amanda Wilkinson
Business Operations Director
(702) 818-0446

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1700212602

Ageless Men's Health Holdings, LLC's National Provider Identifier is 1700212602, issued on Sep 24, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Downers Grove, IL. The record was last updated on Nov 22, 2024.