OrganizationActive
Ageless Men'S Health Holdings, LLC
NPI 1700212602 · Specialist · Downers Grove, IL
Provider details
- NPI number
- 1700212602
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Amanda Wilkinson, Business Operations Director(702) 818-0446
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES 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
1315 Butterfield Rd Ste 206
Downers Grove, IL 60515-5602
Phone: (901) 757-3643
Fax: (901) 757-7762
Street-level locationGet directions
Mailing address
1315 Butterfield Rd Ste 206
Downers Grove, IL 60515-5602
Other names (DBA / former)
- Doing business as
- Ageless Men'S Health
- Doing business as
- Ageless Men'S Health
Registry dates
- Enumerated
- 2013-09-24
- Last updated
- 2024-11-22
- Certified
- 2024-11-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.