OrganizationActive
Ageless Men'S Health Holdings Inc
NPI 1114448644 · Adult Medicine Physician · Chicago, IL
Provider details
- NPI number
- 1114448644
- Entity type
- Organization
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Amanda Wilkinson, Business Operations Director
Practice location
1729 N Clybourn Ave
Chicago, IL 60614-6503
Phone: (312) 291-8335
Fax: (312) 291-8337
Mailing address
1729 N Clybourn Ave
Chicago, IL 60614-6503
Registry dates
- Enumerated
- 2017-07-06
- Last updated
- 2024-11-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.