Life Clinic, Llc is a
Psychiatry & Neurology - Neurology based in Mt Prospect, Illinois. Life Clinic, Llc is licensed to practice in Illinois (license number 036052025) and their current practice location is
20 E Northwest Hwy, Mt Prospect, Illinois. It can be reached at their office (for appointments etc.) via phone at
(847) 342-9033.
NPI number for Life Clinic, Llc is 1043598501 and their current mailing address is 2780 Prince St, Northbrook, Illinois. Life Clinic, Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1043598501.
Healthcare Provider's Profile
Full Name | Life Clinic, Llc |
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Type | Facility |
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Speciality | Psychiatry & Neurology - Neurology |
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Location | 20 E Northwest Hwy, Mt Prospect, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1043598501
- Provider Enumeration Date: 08/01/2011
- Last Update Date: 06/26/2015
Medical Identifiers
Medical identifiers for Life Clinic, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043598501 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 038-007948 (Illinois) | Secondary |
122300000X | Dentist | (Illinois) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | 036052025 (Illinois) | Primary |
208VP0000X | Pain Medicine - Pain Medicine | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Life Clinic, Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Life Clinic, Llc 2780 Prince St, Northbrook, IL 60062-6540 Ph: (847) 342-9033 | Life Clinic, Llc 20 E Northwest Hwy, Mt Prospect, IL 60056-3223 Ph: (847) 342-9033 |
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