AGELESS MEN'S HEALTH HOLDINGS, LLC (NPI# 1538595434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538595434 |
| Entity Type | Organization |
| Organization Name | AGELESS MEN'S HEALTH HOLDINGS, LLC |
| Other Organization Name | AGELESS MEN'S HEALTH |
| Practice Address |
111 W Washington St Suite 901 Chicago IL 60602-2703 |
| Practice Telephone | 9017573643 |
| Practice Fax Number | 9017577762 |
| Mailing Telephone | 9017573643 |
| Mailing Fax Number | 9017577762 |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2013-09-24 |
| Authorized Official Name | MRS. MELISSA C MCCLELLAN (VP OF BUSINESS OPERATIONS) |
| Authorized Official Telephone | 9017573643 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Ageless Men's Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568833911 | Ageless Men's Health Holdings, LLC | Specialist | 491 West Bourne Circle, Suite 2, Farmington, UT 84025 | 2015-10-12 |
| 1346678729 | Ageless Men's Health Holdings, LLC | Specialist | 326 Saint Paul St, Denver, CO 80206-4335 | 2013-10-23 |
| 1700212602 | Ageless Men's Health Holdings, LLC | Specialist | 1307 Butterfield Rd Ste 420, Downers Grove, IL 60515 | 2013-09-24 |
| 1205314317 | Ageless Men's Health Holdings, LLC | Family Medicine | 27600 Chagrin Blvd Ste 140, Woodmere, OH 44122-4498 | 2018-07-31 |
| 1558800144 | Ageless Men's Health Holdings, LLC | Specialist | 155 E Sonterra Blvd, Suite 101, San Antonio, TX 78258-3987 | 2017-02-16 |
| 1053759894 | Ageless Men's Health Holdings, LLC | Specialist | 20403 University Blvd, Suite 200, Sugar Land, TX 77478-4976 | 2013-06-13 |
| Street Address |
111 W WASHINGTON ST SUITE 901 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60602-2703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831549427 | Lauren Domski | Nurse Practitioner | 111 W Washington St, Suite 901, Chicago, IL 60602-2703 | 2016-06-15 |
| 1083069199 | Dental Loft - The Loop | Dentist | 111 W Washington St, Suite 1350, Chicago, IL 60602-2703 | 2016-04-26 |
| 1033340153 | Amy Brussee | Physician Assistant | 111 W Washington St, Suite 903, Chicago, IL 60602-2703 | 2009-08-06 |
| 1609899913 | Kevin E. Hunt | Internal Medicine | 111 W Washington St, Suite 1801, Chicago, IL 60602-2703 | 2006-07-26 |
| 1578592069 | Brian P. Lavery | Internal Medicine | 111 W Washington St, Suite 1801, Chicago, IL 60602-2703 | 2006-06-30 |
| 1104852722 | Anne M. Suh | Internal Medicine | 111 W Washington St, Suite 1801, Chicago, IL 60602-2703 | 2006-06-24 |
| 1578509451 | Audrey M. Tatar | Internal Medicine | 111 W Washington St, Suite 1801, Chicago, IL 60602-2703 | 2006-06-21 |
| 1154367167 | Arnold M. Tatar | Internal Medicine | 111 W Washington St, Suite 1801, Chicago, IL 60602-2703 | 2006-06-20 |
| 1710932728 | Arnold M. Tatar, Md Sc | Internal Medicine | 111 W Washington St, Suite 1801, Chicago, IL 60602-2703 | 2006-05-24 |
| 1366497026 | Chicago Nasal and Sinus Center S C | Otolaryngology | 111 W Washington St, Suite 903, Chicago, IL 60602-2703 | 2006-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710539705 | Biyang Wang | Social Worker | 9 W Washington St, Chicago, IL 60602 | 2019-07-10 |
| 1538724349 | Megan Asta Sarasek | Social Worker | 134 N Lasalle Street, Suite 400, Chicago, IL 60602 | 2019-05-07 |
| 1659850691 | Sara Chen | Dentist | 105 West Madison, 3rd Floor, Chicago, IL 60602 | 2018-08-10 |
| 1942795059 | Pratiti Rajeshkumar Gandhi | Dentist | 33 N Dearborn St Ste 2400, Chicago, IL 60602 | 2018-06-30 |
| 1154833994 | Ywca Metropolitan Chicago | Counselor | 1 North Lasalle Street, Suite 1150, Chicago, IL 60602 | 2017-11-02 |
| 1013434620 | Michelle Malters | Counselor | 30 N Michigan Ave Ste 1909, Chicago, IL 60602 | 2017-08-24 |
| 1740729474 | Jd Manikowski, D.d.s., LLC | Health Maintenance Organization | 30 N. Michigan Ave #1520, Chicago, IL 60602 | 2017-02-14 |
| 1568909943 | Pratiksha Agrawal | Dentist | 105 W Madison St Fl 3, Chicago, IL 60602 | 2017-01-24 |
| 1790221521 | Anastasia Scangas | Social Worker | 30 N Michigan Ave Ste 826, Chicago, IL 60602 | 2017-01-18 |
| 1194269837 | Jenna Peterson | Psychologist | 111 N Wabash Ave Ste 822, Chicago, IL 60602 | 2016-12-15 |
| Find all providers in zip 60602 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346899630 | Jeremy Gantz Morse | Specialist | 815 W Buena Ave, Chicago, IL 60613-1694 | 2019-09-09 |
| 1619539632 | Benjamin Mendoza | Specialist | 6303 W 63rd St Unit 3c, Chicago, IL 60638-7015 | 2019-06-29 |
| 1811471808 | Judith M Penn | Specialist | 8312 S Kedzie Ave, Chicago, IL 60652-3309 | 2018-09-17 |
| 1841774825 | Matthew E Huggins | Specialist | 4553 W 56th St Apt 204c, Chicago, IL 60629-5389 | 2018-09-17 |
| 1750860177 | Muhammad Asim Khan | Specialist | 60 E Delaware Pl, Chicago, Il 60611, 14th Floor Urology- Andrology Clinic, Chicago, IL 60611 | 2018-08-07 |
| 1922502657 | Shauntay Robertson | Specialist | 7342 S Richmond St, Chicago, IL 60629-3015 | 2018-03-19 |
| 1114448644 | Ageless Men's Health Holdings Inc | Specialist | 1729 N Clybourn Ave, Chicago, IL 60614-6503 | 2017-07-06 |
| 1447798871 | Andria Miller | Specialist | 840 N Western Ave, Chicago, IL 60622-4638 | 2017-02-06 |
| 1710425129 | Rtb Sc | Specialist | 5015 N. Paulina #225, Chicago, IL 60640 | 2017-02-06 |
| 1881137354 | Joy Deliverance Williamson | Specialist | 3863 W Flournoy St, Apt. 1w, Chicago, IL 60624-3617 | 2016-11-30 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.