Ageless Men's Health | |
10074 W 190th Pl Ste 10074 Mokena IL 60448-8752 | |
(630) 317-7690 | |
Not Available |
Full Name | Ageless Men's Health |
---|---|
Speciality | Family Medicine |
Location | 10074 W 190th Pl Ste 10074, Mokena, 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 |
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Ageless Men's Health 10074 W 190th Pl Ste 10074 Mokena IL 60448-8752 Ph: () - | Ageless Men's Health 10074 W 190th Pl Ste 10074 Mokena IL 60448-8752 Ph: (630) 317-7690 |
NPI Number | 1194460154 |
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Provider Enumeration Date | 05/03/2022 |
Last Update Date | 11/13/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194460154 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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