| Ageless Men's Health | |
|
1729 N Clybourn Ave Chicago IL 60614-6503 | |
| (312) 291-8335 | |
| (312) 291-8337 |
| Full Name | Ageless Men's Health |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 1729 N Clybourn Ave, Chicago, Illinois |
| Authorized Official Name and Position | Teah Michelle Smith (CREDENTIALING MANAGER) |
| Authorized Official Contact | 9012053999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ageless Men's Health 1729 N Clybourn Ave Chicago IL 60614-6503 Ph: (312) 291-8335 | Ageless Men's Health 1729 N Clybourn Ave Chicago IL 60614-6503 Ph: (312) 291-8335 |
| NPI Number | 1114448644 |
|---|---|
| Provider Enumeration Date | 07/06/2017 |
| Last Update Date | 07/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114448644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
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