OrganizationActive
Chicago Age Management Institute
NPI 1083052609 · Public Health & General Preventive Medicine Physician · Northbrook, IL
Provider details
- NPI number
- 1083052609
- Entity type
- Organization
- Primary specialty
- Public Health & General Preventive Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Mrak Rosenbloom, Chief Medical Officer, Ceo
Practice location
60 Revere Dr Ste 820
Northbrook, IL 60062-1580
Phone: (847) 905-9505
Fax: (847) 905-7344
Mailing address
60 Revere Dr Ste 820
Northbrook, IL 60062-1580
Registry dates
- Enumerated
- 2013-06-05
- Last updated
- 2013-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.