AGELESS MEN'S HEALTH HOLDINGS INC; NPI #1114448644

Contact Information

AGELESS MEN'S HEALTH HOLDINGS INC

1729 N CLYBOURN AVE
CHICAGO, IL 60614-6503

Phone: 312-291-8335
Fax: 312-291-8337
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Adult Medicine	207QA0505X	08	Physician/Family Practice

Indicates primary specialty

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NPI Profile & details for AGELESS MEN'S HEALTH HOLDINGS INC

NPI #	`1114448644`
LBN Legal business name	AGELESS MEN'S HEALTH HOLDINGS INC
Authorized official	AMANDA WILKINSON - (BUSINESS OPERATIONS DIRECTOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	07/06/2017
Last updated	11/11/2024 - More than a year ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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