OrganizationActive
Chicago Anti Aging Institute Sc
NPI 1003376245 · Sports Medicine (Neuromusculoskeletal Medicine) Physician · Lockport, IL
Provider details
- NPI number
- 1003376245
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Neuromusculoskeletal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Loren Davis, President
Practice location
16622 W 159th St Ste 500
Lockport, IL 60441-8015
Phone: (815) 838-7746
Fax: (815) 838-5090
Mailing address
16622 W 159th St Ste 500
Lockport, IL 60441-8015
Registry dates
- Enumerated
- 2019-03-22
- Last updated
- 2019-03-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.