OrganizationActive
Lifeforce Medical Institute
NPI 1588078844 · Public Health & General Preventive Medicine Physician · Northbrook, IL
Provider details
- NPI number
- 1588078844
- Entity type
- Organization
- Primary specialty
- Public Health & General Preventive Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mark Rosenbloom, Owner(847) 563-4493
- License
- 336047254 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
60 Revere Dr
Site 820
Northbrook, IL 60062-1563
Phone: (847) 563-4493
Approximate (ZIP-level) locationGet directions
Mailing address
60 Revere Dr
Northbrook, IL 60062-1563
Registry dates
- Enumerated
- 2014-06-16
- Last updated
- 2014-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.