Lifestart National Fitness is a
Technician, Pathology - Phlebotomy based in Chicago, Illinois. Lifestart National Fitness is licensed to practice in * (Not Available) (license number ) and their current practice location is
125 S Wacker Dr, Suite 2155, Chicago, Illinois. It can be reached at their office (for appointments etc.) via phone at
(312) 627-1300.
NPI number for Lifestart National Fitness is 1376974923 and their current mailing address is 125 S Wacker Dr, Suite 2155, Chicago, Illinois. Lifestart National Fitness
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1376974923.
Healthcare Provider's Profile
| Full Name | Lifestart National Fitness |
|---|
| Type | Facility |
|---|
| Speciality | Technician, Pathology - Phlebotomy |
|---|
| Location | 125 S Wacker Dr, Chicago, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1376974923
- Provider Enumeration Date: 12/09/2013
- Last Update Date: 12/09/2013
Medical Identifiers
Medical identifiers for Lifestart National Fitness such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376974923 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 2478 (Louisiana) | Secondary |
| 133V00000X | Dietitian, Registered | DN003881 (Pennsylvania) | Secondary |
| 163W00000X | Registered Nurse | 041344664 (Illinois) | Secondary |
| 246RP1900X | Technician, Pathology - Phlebotomy | (* (Not Available)) | Primary |
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. Lifestart National Fitness 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 |
|---|
Lifestart National Fitness
125 S Wacker Dr, Suite 2155,
Chicago, IL 60606-4424
Ph: (312) 627-1300 | Lifestart National Fitness
125 S Wacker Dr, Suite 2155,
Chicago, IL 60606-4424
Ph: (312) 627-1300 |
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