OrganizationActive
Novalife Medical, PLLC
NPI 1417816919 · Geriatric Medicine (Internal Medicine) Physician · Chicago, IL
Provider details
- NPI number
- 1417816919
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Diana Singh, Credentialing Specialist(407) 450-4491
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1201 N La Salle Dr Apt 3011
Chicago, IL 60610-3053
Phone: (773) 680-7011
Street-level locationGet directions
Mailing address
1201 N La Salle Dr Apt 3011
Chicago, IL 60610-3053
Registry dates
- Enumerated
- 2026-01-20
- Last updated
- 2026-01-20
- Certified
- 2026-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.